Provider Demographics
NPI:1407097561
Name:H. Q. NGUYEN, MD, INC.
Entity Type:Organization
Organization Name:H. Q. NGUYEN, MD, INC.
Other - Org Name:KOALA PEDIATRIC ENDOCRINOLOGY & DIABETES, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HUONG
Authorized Official - Middle Name:QUYNH
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:559-840-2170
Mailing Address - Street 1:7055 N CHESTNUT AVE
Mailing Address - Street 2:SUITE #103
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93720-0350
Mailing Address - Country:US
Mailing Address - Phone:559-840-2170
Mailing Address - Fax:559-840-1204
Practice Address - Street 1:7055 N. CHESTNUT AVE.
Practice Address - Street 2:STE # 103
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93720-0350
Practice Address - Country:US
Practice Address - Phone:559-840-2170
Practice Address - Fax:559-840-1204
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-18
Last Update Date:2009-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty