| Thanh Minh Nguyen, M.d., Inc. | |
|
8919 Westminster Ave Garden Grove CA 92844-2609 | |
| (714) 893-5511 | |
| (714) 893-5514 |
| Full Name | Thanh Minh Nguyen, M.d., Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 8919 Westminster Ave, Garden Grove, California |
| Authorized Official Name and Position | Thanh Minh Nguyen (PRESIDENT) |
| Authorized Official Contact | 7148935511 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thanh Minh Nguyen, M.d., Inc. 8919 Westminster Ave Garden Grove CA 92844-2609 Ph: (714) 893-5511 | Thanh Minh Nguyen, M.d., Inc. 8919 Westminster Ave Garden Grove CA 92844-2609 Ph: (714) 893-5511 |
| NPI Number | 1952614562 |
|---|---|
| Provider Enumeration Date | 07/24/2010 |
| Last Update Date | 04/05/2012 |
| Medicare PECOS PAC ID | 5890968481 |
|---|---|
| Medicare Enrollment ID | O20111026000587 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952614562 | NPI | - | NPPES |
| 00G565540 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (California) | Primary |
| Provider Name | Thanh M Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508885625 PECOS PAC ID: 6406029099 Enrollment ID: I20111026000646 |
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