Provider Demographics
NPI:1053846485
Name:NGUYEN, MICHAEL HUY KHIEM (MD)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:HUY KHIEM
Last Name:NGUYEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:23600 TELO AVE STE 260
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505-4037
Mailing Address - Country:US
Mailing Address - Phone:424-435-1037
Mailing Address - Fax:424-435-1038
Practice Address - Street 1:23600 TELO AVE STE 260
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-4037
Practice Address - Country:US
Practice Address - Phone:424-435-1037
Practice Address - Fax:424-435-1038
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-24
Last Update Date:2023-09-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA160141207R00000X, 207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine