| Theresa Thanh Ngoc Nguyen, Md, Inc. | |
|
15576 Brookhurst St Ste B Westminster CA 92683-7586 | |
| (714) 775-8090 | |
| (714) 775-2998 |
| Full Name | Theresa Thanh Ngoc Nguyen, Md, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 15576 Brookhurst St Ste B, Westminster, California |
| Authorized Official Name and Position | Thanh Ngoc Nguyen (OWNER) |
| Authorized Official Contact | 7147758090 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Theresa Thanh Ngoc Nguyen, Md, Inc. 15576 Brookhurst St Ste B Westminster CA 92683-7586 Ph: (714) 775-8090 | Theresa Thanh Ngoc Nguyen, Md, Inc. 15576 Brookhurst St Ste B Westminster CA 92683-7586 Ph: (714) 775-8090 |
| NPI Number | 1750667192 |
|---|---|
| Provider Enumeration Date | 10/31/2011 |
| Last Update Date | 07/08/2016 |
| Medicare PECOS PAC ID | 8820250293 |
|---|---|
| Medicare Enrollment ID | O20120501000230 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750667192 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A61129 (California) | Primary |
| Provider Name | Thai D Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467547042 PECOS PAC ID: 1254435811 Enrollment ID: I20070409000568 |
| Provider Name | Theresa Thanh Ngoc Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003893801 PECOS PAC ID: 6901068378 Enrollment ID: I20120501000264 |
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