| Phuc Vinh Nguyen M.d., Inc. | |
|
9500 Bolsa Ave Suite M Westminster CA 92683-5943 | |
| (714) 531-8915 | |
| (714) 531-6231 |
| Full Name | Phuc Vinh Nguyen M.d., Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 9500 Bolsa Ave, Westminster, California |
| Authorized Official Name and Position | Phuc Vinh Nguyen (PHYSICIAN) |
| Authorized Official Contact | 7145318915 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Phuc Vinh Nguyen M.d., Inc. 9500 Bolsa Ave Suite M Westminster CA 92683-5943 Ph: (714) 531-8915 | Phuc Vinh Nguyen M.d., Inc. 9500 Bolsa Ave Suite M Westminster CA 92683-5943 Ph: (714) 531-8915 |
| NPI Number | 1538230024 |
|---|---|
| Provider Enumeration Date | 11/13/2006 |
| Last Update Date | 11/20/2012 |
| Medicare PECOS PAC ID | 6002879772 |
|---|---|
| Medicare Enrollment ID | O20041104000760 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538230024 | NPI | - | NPPES |
| 00C506260 | Medicaid | CA | |
| C50626 | Other | CA | PHUC V NGUYEN MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | C50626 (California) | Primary |
| Provider Name | Phuc V Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134123961 PECOS PAC ID: 2264402577 Enrollment ID: I20040726001168 |
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