Individual
THUAN VAN NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15420 CRENSHAW BLVD, GARDENA, CA 90249-4524
(310) 324-5599
(310) 324-7550
Mailing address
15420 CRENSHAW BLVD, GARDENA, CA 90249-4524
(310) 324-5599
(310) 324-7550
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A36037
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A360370
—
CA
Enumeration date
02/21/2007
Last updated
09/09/2010
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