Provider Demographics
NPI:1497229413
Name:DUC NGUYEN CORPORATION
Entity Type:Organization
Organization Name:DUC NGUYEN CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DUC
Authorized Official - Middle Name:TIEN
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:714-414-5092
Mailing Address - Street 1:9355 CHAPMAN AVE STE 202
Mailing Address - Street 2:
Mailing Address - City:GARDEN GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:92841-2536
Mailing Address - Country:US
Mailing Address - Phone:714-867-6285
Mailing Address - Fax:714-551-1953
Practice Address - Street 1:9355 CHAPMAN AVE STE 202
Practice Address - Street 2:
Practice Address - City:GARDEN GROVE
Practice Address - State:CA
Practice Address - Zip Code:92841-2536
Practice Address - Country:US
Practice Address - Phone:714-867-6285
Practice Address - Fax:714-551-1953
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DUC NGUYEN CORPORATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-01-12
Last Update Date:2019-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty