Jonathan T Nguyen M.d Inc | |
555 E Pacific Coast Hwy Long Beach CA 90806-5576 | |
(562) 591-3222 | |
Not Available |
Full Name | Jonathan T Nguyen M.d Inc |
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Speciality | Internal Medicine |
Location | 555 E Pacific Coast Hwy, Long Beach, California |
Authorized Official Name and Position | Jonathan T Nguyen (MEDICAL DIRECTOR) |
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 T Nguyen M.d Inc 555 E Pacific Coast Hwy Long Beach CA 90806-5576 Ph: (562) 591-3222 | Jonathan T Nguyen M.d Inc 555 E Pacific Coast Hwy Long Beach CA 90806-5576 Ph: (562) 591-3222 |
NPI Number | 1750425229 |
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Provider Enumeration Date | 02/17/2007 |
Last Update Date | 07/06/2016 |
Medicare PECOS PAC ID | 1759303597 |
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Medicare Enrollment ID | O20051221000478 |
Identifier | Type | State | Issuer |
---|---|---|---|
1750425229 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | A73239 (California) | 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 |
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