Individual
GERARD KIM NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 HOAG DR, NEWPORT BEACH, CA 92663-4162
(949) 764-5570
Mailing address
5767 W CENTURY BLVD, LOS ANGELES, CA 90045-5631
(310) 301-8774
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A148005
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A148005
MEDICAL LICENSE
CA
Enumeration date
03/25/2013
Last updated
07/21/2025
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