| Dat William Nguyen Md Inc | |
|
6501 La Jolla Blvd La Jolla CA 92037-6016 | |
| (619) 300-2340 | |
| Not Available |
| Full Name | Dat William Nguyen Md Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 6501 La Jolla Blvd, La Jolla, California |
| Authorized Official Name and Position | Dat William Nguyen (CEO/ MD) |
| Authorized Official Contact | 6193002340 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dat William Nguyen Md Inc Po Box 8005 Rancho Santa Fe CA 92067-8005 Ph: (619) 300-2340 | Dat William Nguyen Md Inc 6501 La Jolla Blvd La Jolla CA 92037-6016 Ph: (619) 300-2340 |
| NPI Number | 1114671799 |
|---|---|
| Provider Enumeration Date | 02/11/2022 |
| Last Update Date | 08/02/2023 |
| Medicare PECOS PAC ID | 4486048436 |
|---|---|
| Medicare Enrollment ID | O20220308001905 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114671799 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Dat W Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386626448 PECOS PAC ID: 8224018700 Enrollment ID: I20040723001097 |
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