Dat Q Nguyen, Md, Inc | |
12865 Main St Ste 105 Garden Grove CA 92840-8205 | |
(800) 560-9999 | |
Not Available |
Full Name | Dat Q Nguyen, Md, Inc |
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Speciality | Internal Medicine |
Location | 12865 Main St Ste 105, Garden Grove, California |
Authorized Official Name and Position | Dat Nguyen (OWNER) |
Authorized Official Contact | 8186186850 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Dat Q Nguyen, Md, Inc 9891 Frederick Cir Huntington Beach CA 92646-3641 Ph: () - | Dat Q Nguyen, Md, Inc 12865 Main St Ste 105 Garden Grove CA 92840-8205 Ph: (800) 560-9999 |
NPI Number | 1811530686 |
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Provider Enumeration Date | 10/23/2019 |
Last Update Date | 10/23/2019 |
Medicare PECOS PAC ID | 6507290632 |
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Medicare Enrollment ID | O20221223000753 |
Identifier | Type | State | Issuer |
---|---|---|---|
1811530686 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Dat Q Nguyen |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1720092315 PECOS PAC ID: 0143254920 Enrollment ID: I20050921000526 |
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