| Joanna H Nguyen Md Inc | |
|
1641 Creekside Dr Ste 201 Folsom CA 95630-3831 | |
| (916) 983-3069 | |
| (916) 983-4569 |
| Full Name | Joanna H Nguyen Md Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 1641 Creekside Dr Ste 201, Folsom, California |
| Authorized Official Name and Position | Joanna Nguyen (OWNER) |
| Authorized Official Contact | 9169833069 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Joanna H Nguyen Md Inc 1641 Creekside Dr Ste 201 Folsom CA 95630-3831 Ph: (916) 983-3069 | Joanna H Nguyen Md Inc 1641 Creekside Dr Ste 201 Folsom CA 95630-3831 Ph: (916) 983-3069 |
| NPI Number | 1558516070 |
|---|---|
| Provider Enumeration Date | 11/25/2008 |
| Last Update Date | 04/07/2023 |
| Medicare PECOS PAC ID | 8426119918 |
|---|---|
| Medicare Enrollment ID | O20081202000609 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558516070 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Joanna H Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073614350 PECOS PAC ID: 9335146703 Enrollment ID: I20061026000544 |
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