| Chidao Nguyen, D.o., A Professional Corporation | |
|
9353 Bolsa Ave #e62 Westminster CA 92683-5951 | |
| (909) 786-5061 | |
| Not Available |
| Full Name | Chidao Nguyen, D.o., A Professional Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 9353 Bolsa Ave, Westminster, California |
| Authorized Official Name and Position | Chidao Nguyen (PRESIDENT) |
| Authorized Official Contact | 9097865061 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chidao Nguyen, D.o., A Professional Corporation 9353 Bolsa Ave #e62 Westminster CA 92683-5951 Ph: (909) 786-5061 | Chidao Nguyen, D.o., A Professional Corporation 9353 Bolsa Ave #e62 Westminster CA 92683-5951 Ph: (909) 786-5061 |
| NPI Number | 1114201266 |
|---|---|
| Provider Enumeration Date | 10/07/2011 |
| Last Update Date | 11/19/2018 |
| Medicare PECOS PAC ID | 6103099973 |
|---|---|
| Medicare Enrollment ID | O20111024000665 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114201266 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 20A10338 (California) | Primary |
| Provider Name | Karen E Brabant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871667337 PECOS PAC ID: 9830283803 Enrollment ID: I20070920000899 |
| Provider Name | Chidao L Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780850198 PECOS PAC ID: 6406927722 Enrollment ID: I20080613000465 |
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