1730270380 NPI number — DR. TUAN NGUYEN MD

Table of content: DR. TUAN NGUYEN MD (NPI 1730270380)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1730270380 NPI number — DR. TUAN NGUYEN MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
NGUYEN
Provider First Name:
TUAN
Provider Middle Name:
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
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:
1730270380
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/02/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 420988
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SAN DIEGO
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
92142-0988
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
619-563-4040
Provider Business Mailing Address Fax Number:
619-563-1204

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4141 FAIRMOUNT AVE
Provider Second Line Business Practice Location Address:
SUITE #201
Provider Business Practice Location Address City Name:
SAN DIEGO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92105-1609
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
858-278-5293
Provider Business Practice Location Address Fax Number:
619-278-5393
Provider Enumeration Date:
09/27/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207RG0100X , with the licence number:  G68761 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 00G687611 , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".




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