| Vincent Dat Nguyen Inc. | |
|
5300 Beach Blvd 110-428 Buena Park CA 90621-1250 | |
| (714) 267-7000 | |
| Not Available |
| Full Name | Vincent Dat Nguyen Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 5300 Beach Blvd, Buena Park, California |
| Authorized Official Name and Position | Vincent D Nguyen (PRESIDENT) |
| Authorized Official Contact | 7142677000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vincent Dat Nguyen Inc. 5300 Beach Blvd 110-428 Buena Park CA 90621-1250 Ph: (714) 267-7000 | Vincent Dat Nguyen Inc. 5300 Beach Blvd 110-428 Buena Park CA 90621-1250 Ph: (714) 267-7000 |
| NPI Number | 1376818872 |
|---|---|
| Provider Enumeration Date | 03/15/2012 |
| Last Update Date | 03/15/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376818872 | NPI | - | NPPES |
| 00AX64290 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 20A6429 (California) | Primary |
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