Jonathan Nguyen Medical Clinic Inc | |
555 E Pacific Coast Hwy Ste 102 Long Beach CA 90806-5579 | |
(562) 591-3222 | |
Not Available |
Full Name | Jonathan Nguyen Medical Clinic Inc |
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Speciality | Internal Medicine |
Location | 555 E Pacific Coast Hwy Ste 102, Long Beach, California |
Authorized Official Name and Position | Jonathan Tuan Nguyen (PRESIDENT) |
Authorized Official Contact | 5625913222 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Jonathan Nguyen Medical Clinic Inc 555 E Pacific Coast Hwy Ste 102 Long Beach CA 90806-5579 Ph: (562) 591-3222 | Jonathan Nguyen Medical Clinic Inc 555 E Pacific Coast Hwy Ste 102 Long Beach CA 90806-5579 Ph: (562) 591-3222 |
NPI Number | 1144864992 |
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Provider Enumeration Date | 11/05/2019 |
Last Update Date | 01/20/2020 |
Medicare PECOS PAC ID | 7214364587 |
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Medicare Enrollment ID | O20200226001155 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144864992 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Jonathan T Nguyen |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1023193125 PECOS PAC ID: 1951343524 Enrollment ID: I20050524000660 |
Provider Name | Sandy Witzling |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1972539179 PECOS PAC ID: 3779663729 Enrollment ID: I20080103000625 |
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