Individual
DR. LOAN KIM NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6767 N FRESNO ST, FRESNO, CA 93710-3709
(559) 432-1000
(559) 432-1034
Mailing address
6767 N FRESNO ST, FRESNO, CA 93710-3709
(559) 432-1000
(559) 432-1034
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A509810
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A509810
—
CA
01
—
A509810
LICENSE#
CA
Enumeration date
12/11/2006
Last updated
03/07/2023
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