Provider Demographics
NPI:1417912239
Name:NGUYEN, BICHLIEN (MD)
Entity Type:Individual
Prefix:DR
First Name:BICHLIEN
Middle Name:
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9900 TALBERT AVE
Mailing Address - Street 2:SUITE 103A
Mailing Address - City:FOUNTAIN VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92708-5153
Mailing Address - Country:US
Mailing Address - Phone:714-378-5005
Mailing Address - Fax:714-378-5611
Practice Address - Street 1:9900 TALBERT AVE
Practice Address - Street 2:SUITE 103A
Practice Address - City:FOUNTAIN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92708-5153
Practice Address - Country:US
Practice Address - Phone:714-378-5005
Practice Address - Fax:714-378-5611
Is Sole Proprietor?:No
Enumeration Date:2006-04-18
Last Update Date:2014-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG64758207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G647580Medicaid
CA00G647580Medicaid
CAWG64758CMedicare ID - Type Unspecified