| T. T. Tyler Nguyen, M.d., Inc. | |
|
2865 Atlantic Ave. Suite # 226 Long Beach CA 90806 | |
| (562) 270-4050 | |
| (800) 858-2042 |
| Full Name | T. T. Tyler Nguyen, M.d., Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 2865 Atlantic Ave., Long Beach, California |
| Authorized Official Name and Position | Toan T. Tyler Nguyen (PRESIDENT) |
| Authorized Official Contact | 8004729173 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| T. T. Tyler Nguyen, M.d., Inc. Po Box 2347 Orange CA 92859-0347 Ph: (562) 270-4050 | T. T. Tyler Nguyen, M.d., Inc. 2865 Atlantic Ave. Suite # 226 Long Beach CA 90806 Ph: (562) 270-4050 |
| NPI Number | 1063685808 |
|---|---|
| Provider Enumeration Date | 04/11/2008 |
| Last Update Date | 06/12/2014 |
| Medicare PECOS PAC ID | 7214126978 |
|---|---|
| Medicare Enrollment ID | O20110111000598 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063685808 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A65048 (California) | Primary |
| Provider Name | Toan T Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639129711 PECOS PAC ID: 6901099092 Enrollment ID: I20101021000544 |
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