Provider Demographics
NPI:1437239464
Name:LUC SINH NGUYEN M D F A C C INC
Entity Type:Organization
Organization Name:LUC SINH NGUYEN M D F A C C INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LUC
Authorized Official - Middle Name:SINH
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:714-438-0082
Mailing Address - Street 1:14571 MAGNOLIA ST STE 208
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CA
Mailing Address - Zip Code:92683-5576
Mailing Address - Country:US
Mailing Address - Phone:714-438-0082
Mailing Address - Fax:714-438-0072
Practice Address - Street 1:14571 MAGNOLIA ST STE 208
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CA
Practice Address - Zip Code:92683-5576
Practice Address - Country:US
Practice Address - Phone:714-438-0082
Practice Address - Fax:714-438-0072
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-16
Last Update Date:2023-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG66417207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty