THANG PHUOC NGUYEN M.D. NPI 1992729933

NPI Information

Thang Phuoc Nguyen, M.D. is a general practice in Los Angeles, CA with 29 years of experience. Thang Phuoc Nguyen, M.D. NPI is 1992729933. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: HAHNEMANN UNIVERSITY COLLEGE OF MEDICINE
Graduation Year:1995

The provider's business location address is:

1271 S UNION AVE
LOS ANGELES, CA
ZIP 90015-043
Phone: (213) 386-0214
Fax: (213) 386-0215

The NPI 1992729933 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The CLIA number assigned to this NPI record is 05D0980437 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/26/2006 and was last updated on 10/6/2011.

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:

Other Identifiers

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

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