Provider Demographics
NPI:1558516963
Name:NGUYEN, HAI DONG (MD)
Entity Type:Individual
Prefix:DR
First Name:HAI
Middle Name:DONG
Last Name:NGUYEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2907 SAWGRASS DR
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92706-1195
Mailing Address - Country:US
Mailing Address - Phone:714-675-3937
Mailing Address - Fax:877-820-4151
Practice Address - Street 1:2907 SAWGRASS DR
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92706-1195
Practice Address - Country:US
Practice Address - Phone:714-675-3937
Practice Address - Fax:877-820-4151
Is Sole Proprietor?:No
Enumeration Date:2008-11-26
Last Update Date:2013-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA114137207R00000X, 208M00000X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice