Individual
CHI M NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
17100 EUCLID AVENUE, FOUNTAIN VALLEY, CA 92708
(714) 966-8105
Mailing address
6512 OAKHURST CIR, HUNTINGTON BEACH, CA 92648-6636
(714) 969-4303
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
Primary
G77715
CA
207P00000X
Emergency Medicine Physician
G77715
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G777150
—
CA
Enumeration date
04/26/2006
Last updated
05/19/2008
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