HOANG DUC NGUYEN M.D. INC. NPI 1972161255

NPI Information

NPI: 1972161255
Provider Name: HOANG DUC NGUYEN, M.D., INC.
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 05D1029268

Address:
22110 ROSCOE BLVD STE 100
CANOGA PARK, CA
ZIP 91304
Phone: (818) 481-0118
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HOANG DUC NGUYEN, M.D., INC. is a primary care clinic center in Canoga Park, CA. HOANG DUC NGUYEN, M.D., INC. NPI is 1972161255. The provider is registered as an organization entity type.

The provider's business location address is:

22110 ROSCOE BLVD STE 100
CANOGA PARK, CA
ZIP 91304-875
Phone: (818) 481-0118
Fax: (818) 584-8926

The provider's authorized official is Hoang Duc Nguyen .
The authorized official title is Ceo and has the following contact phone number (818) 481-0118.

The CLIA number assigned to this NPI record is 05D1029268 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/3/2019 and was last updated on 6/3/2019.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care			Yes

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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