Provider Demographics
NPI:1316009418
Name:NGUYEN, FRANKLIN CUONG (DO)
Entity Type:Individual
Prefix:DR
First Name:FRANKLIN
Middle Name:CUONG
Last Name:NGUYEN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9251 GARVEY AVE STE F
Mailing Address - Street 2:
Mailing Address - City:SOUTH EL MONTE
Mailing Address - State:CA
Mailing Address - Zip Code:91733-4610
Mailing Address - Country:US
Mailing Address - Phone:626-350-8338
Mailing Address - Fax:626-350-9889
Practice Address - Street 1:9251 GARVEY AVE STE F
Practice Address - Street 2:
Practice Address - City:SOUTH EL MONTE
Practice Address - State:CA
Practice Address - Zip Code:91733-4610
Practice Address - Country:US
Practice Address - Phone:626-350-8338
Practice Address - Fax:626-350-9889
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A6736207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
G65460Medicare UPIN