Provider Demographics
NPI:1144245366
Name:NGUYEN, TUAN NGOC (MD)
Entity Type:Individual
Prefix:DR
First Name:TUAN
Middle Name:NGOC
Last Name:NGUYEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:28078 BAXTER RD STE 320
Mailing Address - Street 2:
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92563-1404
Mailing Address - Country:US
Mailing Address - Phone:951-246-4546
Mailing Address - Fax:951-672-9036
Practice Address - Street 1:28078 BAXTER RD STE 320
Practice Address - Street 2:
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92563-1404
Practice Address - Country:US
Practice Address - Phone:951-246-4546
Practice Address - Fax:951-672-9036
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-12
Last Update Date:2021-11-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA64605207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine