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UYEN JACKIE NGUYEN M.D. INC NPI 1700959889


NPI Information

NPI: 1700959889
Provider Name: UYEN JACKIE NGUYEN, M.D., INC

Former Legal Business Name: UYEN NHI NGUYEN, M.D.

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 05D1046209

Address:
18682 BEACH BLVD STE 160
HUNTINGTON BEACH, CA
ZIP 92648
Phone: (714) 378-1300
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UYEN JACKIE NGUYEN, M.D., INC is a family medicine in Huntington Beach, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. UYEN JACKIE NGUYEN, M.D., INC NPI is 1700959889. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Uyen Nhi Nguyen, M.d..

The provider's business location address is:

18682 BEACH BLVD STE 160
HUNTINGTON BEACH, CA
ZIP 92648-077
Phone: (714) 378-1300
Fax: (714) 378-1316

The provider's authorized official is Uyen Nhi Nguyen .
The authorized official title is Owner and has the following contact phone number (714) 378-1300.

The CLIA number assigned to this NPI record is 05D1046209 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/16/2006 and was last updated on 11/19/2007.


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
1207Q00000XFamily MedicineA76872CALIFORNIAYes

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

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