1306364302 NPI number — CENTER FOR COUPLES & FAMILIES

Table of content: DR. DUY CAO NGUYEN M.D. (NPI 1558688739)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1306364302 NPI number — CENTER FOR COUPLES & FAMILIES

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CENTER FOR COUPLES & FAMILIES
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1306364302
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/27/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1173 SO 250 WEST
Provider Second Line Business Mailing Address:
BLDG 1- SUITE 208
Provider Business Mailing Address City Name:
SAINT GEORGE
Provider Business Mailing Address State Name:
UT
Provider Business Mailing Address Postal Code:
84770-6747
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
435-632-6900
Provider Business Mailing Address Fax Number:
435-688-8488

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1173 SO 250 WEST
Provider Second Line Business Practice Location Address:
BLDG 1- SUITE 208
Provider Business Practice Location Address City Name:
SAINT GEORGE
Provider Business Practice Location Address State Name:
UT
Provider Business Practice Location Address Postal Code:
84770-8477
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
435-688-1111
Provider Business Practice Location Address Fax Number:
435-688-8488
Provider Enumeration Date:
08/30/2017

Additional Information

Authorized Official

Authorized Official Last Name:
ESCHLER
Authorized Official First Name:
MATT
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
435-688-1111

Provider Taxonomy Codes

  • Taxonomy code: 106H00000X , registered in the state of NULL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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