| Phuc Dang Nguyen M.d Inc | |
|
7901 Westminster Blvd Westminster CA 92683-4001 | |
| (714) 893-0882 | |
| Not Available |
| Full Name | Phuc Dang Nguyen M.d Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 7901 Westminster Blvd, Westminster, California |
| Authorized Official Name and Position | Phuc Dang Nguyen (PRESIDENT) |
| Authorized Official Contact | 7148930882 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Phuc Dang Nguyen M.d Inc 7901 Westminster Blvd Westminster CA 92683-4001 Ph: (714) 893-0882 | Phuc Dang Nguyen M.d Inc 7901 Westminster Blvd Westminster CA 92683-4001 Ph: (714) 893-0882 |
| NPI Number | 1114121407 |
|---|---|
| Provider Enumeration Date | 06/12/2007 |
| Last Update Date | 10/29/2018 |
| Medicare PECOS PAC ID | 9234196304 |
|---|---|
| Medicare Enrollment ID | O20041210000461 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114121407 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | A32505 (California) | Primary |
| Provider Name | Phuc D Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629078852 PECOS PAC ID: 9335132281 Enrollment ID: I20040406001056 |
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