Provider Demographics
NPI:1639269160
Name:NGUYEN, HONG THU (MD)
Entity Type:Individual
Prefix:DR
First Name:HONG
Middle Name:THU
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1400 S GRAND AVE STE 615
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90015-3069
Mailing Address - Country:US
Mailing Address - Phone:213-748-0110
Mailing Address - Fax:213-402-5466
Practice Address - Street 1:1400 S GRAND AVE STE 615
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90015-3069
Practice Address - Country:US
Practice Address - Phone:213-748-0110
Practice Address - Fax:213-402-5466
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-13
Last Update Date:2019-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA90724207R00000X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine