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DR. TAO T NGUYEN M.D NPI 1689693749


NPI Information

NPI: 1689693749
Provider Name: DR. TAO T NGUYEN, M.D
Classification: Pediatrics - 2080A0000X
Entity Type: Individual

Specialization: Adolescent Medicine

CLIA Number: 05D0902718

Address:
6043 ATLANTIC BLVD
MAYWOOD, CA
ZIP 90270
Phone: (323) 583-6516
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DR. Tao T Nguyen, M.D is an adolescent medicine pediatrics in Maywood, CA. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. DR. Tao T Nguyen, M.D NPI is 1689693749. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6043 ATLANTIC BLVD
MAYWOOD, CA
ZIP 90270-118
Phone: (323) 583-6516
Fax: (323) 583-0802

The CLIA number assigned to this NPI record is 05D0902718 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/19/2006 and was last updated on 5/13/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatrics00A444561CALIFORNIANo
22080A0000XPediatricsAdolescent MedicineA44456CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1A444561MEDICAIDCALIFORNIA
21861587073OTHERCALIFORNIAPEDIATRICS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.