| Hoang Tran Nguyen Md Inc | |
|
16040 Harbor Blvd #g Fountain Valley CA 92708-1327 | |
| (714) 531-7930 | |
| (719) 531-7997 |
| Full Name | Hoang Tran Nguyen Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 16040 Harbor Blvd, Fountain Valley, California |
| Authorized Official Name and Position | Hoang Tran Nguyen (DORTOR) |
| Authorized Official Contact | 7145317930 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hoang Tran Nguyen Md Inc 16040 Harbor Blvd #g Fountain Valley CA 92708-1327 Ph: (714) 531-7930 | Hoang Tran Nguyen Md Inc 16040 Harbor Blvd #g Fountain Valley CA 92708-1327 Ph: (714) 531-7930 |
| NPI Number | 1730359530 |
|---|---|
| Provider Enumeration Date | 03/07/2008 |
| Last Update Date | 03/24/2015 |
| Medicare PECOS PAC ID | 9537113311 |
|---|---|
| Medicare Enrollment ID | O20050303001020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730359530 | NPI | - | NPPES |
| 00A803210 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (California) | Primary |
| Provider Name | Hoang T Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457329179 PECOS PAC ID: 1355395146 Enrollment ID: I20050304000725 |
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