| Hung Nguyen, Do, A Professional Corporation | |
|
11480 Brookshire Ave Suite 200 Downey CA 90241-5021 | |
| (562) 869-6400 | |
| (714) 621-0096 |
| Full Name | Hung Nguyen, Do, A Professional Corporation |
|---|---|
| Speciality | Family Medicine |
| Location | 11480 Brookshire Ave, Downey, California |
| Authorized Official Name and Position | Hung M Nguyen (D.O.) |
| Authorized Official Contact | 7142966264 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hung Nguyen, Do, A Professional Corporation 12762 Annette Cir Garden Grove CA 92840-6103 Ph: (714) 296-6264 | Hung Nguyen, Do, A Professional Corporation 11480 Brookshire Ave Suite 200 Downey CA 90241-5021 Ph: (562) 869-6400 |
| NPI Number | 1063637080 |
|---|---|
| Provider Enumeration Date | 04/16/2007 |
| Last Update Date | 04/10/2012 |
| Medicare PECOS PAC ID | 4183655640 |
|---|---|
| Medicare Enrollment ID | O20050902000729 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063637080 | NPI | - | NPPES |
| 00AX85680 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 20A8568 (California) | Primary |
| Provider Name | Hung M Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447284526 PECOS PAC ID: 1951358514 Enrollment ID: I20050405001387 |
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