Individual
DAN-VINH PHAM NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4150 V ST, SUITE 3400, SACRAMENTO, CA 95817-1460
(916) 734-4597
(916) 734-7924
Mailing address
4150 V ST, SUITE 3400, SACRAMENTO, CA 95817-1460
(916) 734-4597
(916) 734-7924
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101253878
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
-028
TRICARE/CHAMPUS
VA
01
—
10112168
OPTIMA HEALTH
VA
01
—
1932425261
UNITED HEALTHCARE
VA
05
—
1932425261
—
NC
05
—
1932425261
—
VA
01
—
497840
ANTHEM BC/BS
VA
01
—
PAR
VIRGINIA HEALTH NETWORK
VA
Enumeration date
04/12/2010
Last updated
12/17/2021
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