| Ky Ngoc Nguyen Md Inc | |
|
9141 Bolsa Ave Suite 301 Westminster CA 92683 | |
| (714) 898-1526 | |
| (714) 373-5244 |
| Full Name | Ky Ngoc Nguyen Md Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 9141 Bolsa Ave, Westminster, California |
| Authorized Official Name and Position | Ky Ngoc Nguyen (PRESIDENT) |
| Authorized Official Contact | 7148981526 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ky Ngoc Nguyen Md Inc 9141 Bolsa Ave Suite 301 Westminster CA 92683 Ph: (714) 898-1526 | Ky Ngoc Nguyen Md Inc 9141 Bolsa Ave Suite 301 Westminster CA 92683 Ph: (714) 898-1526 |
| NPI Number | 1275620676 |
|---|---|
| Provider Enumeration Date | 10/06/2006 |
| Last Update Date | 12/20/2007 |
| Medicare PECOS PAC ID | 9931363363 |
|---|---|
| Medicare Enrollment ID | O20120614000218 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275620676 | NPI | - | NPPES |
| GR0006061 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A32504 (California) | Primary |
| Provider Name | Ky Ngoc Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972782829 PECOS PAC ID: 0648434076 Enrollment ID: I20120614000246 |
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