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Individual

DR. TRUONGSON XUAN NGUYEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1310 W STEWART DR, SUITE 410, ORANGE, CA 92868-3854
(714) 639-9401
(714) 639-7095
Mailing address
1310 W STEWART DR, SUITE 410, ORANGE, CA 92868-3854
(714) 639-9401
(714) 639-7095

Taxonomy

Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
A101982
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1912919804
NPI - TYPE 2
01
A101982
STATE LICENSE
CA
01
GR0003350
MEDICAID - GROUP PROVIDER
CA
01
W1514
MEDICARE PTAN - TYPE 2
CA
Enumeration date
05/14/2009
Last updated
10/26/2020
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