| Uyen Jackie Nguyen, M.d., Inc | |
|
18682 Beach Blvd Ste 160 Huntington Beach CA 92648-2077 | |
| (714) 378-1300 | |
| (714) 378-1316 |
| Full Name | Uyen Jackie Nguyen, M.d., Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 18682 Beach Blvd Ste 160, Huntington Beach, California |
| Authorized Official Name and Position | Uyen Nhi Nguyen (OWNER) |
| Authorized Official Contact | 7143781300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Uyen Jackie Nguyen, M.d., Inc 18682 Beach Blvd Ste 160 Huntington Beach CA 92648-2077 Ph: (714) 378-1300 | Uyen Jackie Nguyen, M.d., Inc 18682 Beach Blvd Ste 160 Huntington Beach CA 92648-2077 Ph: (714) 378-1300 |
| NPI Number | 1700959889 |
|---|---|
| Provider Enumeration Date | 11/16/2006 |
| Last Update Date | 11/19/2007 |
| Medicare PECOS PAC ID | 4789686874 |
|---|---|
| Medicare Enrollment ID | O20070201000600 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700959889 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A76872 (California) | Primary |
| Provider Name | Uyen Nhi Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508864992 PECOS PAC ID: 7719972918 Enrollment ID: I20040416001520 |
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