Individual
DR. TONY CHIEN NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
4761 HOEN AVE, SANTA ROSA, CA 95405-7862
(707) 545-0570
(707) 545-0575
Mailing address
5651 COPLEY DR, STE A, SAN DIEGO, CA 92111-7903
(858) 262-6343
(858) 262-6787
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E41516
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000E45160
—
CA
Enumeration date
03/02/2007
Last updated
05/05/2020
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