Provider Demographics
NPI:1699845156
Name:NGUYEN, DAVID DUNGCHI (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:DUNGCHI
Last Name:NGUYEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:16040 HARBOR BLVD
Mailing Address - Street 2:SUITE I
Mailing Address - City:FOUNTAIN VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92708-1327
Mailing Address - Country:US
Mailing Address - Phone:714-775-2600
Mailing Address - Fax:714-775-2622
Practice Address - Street 1:16040 HARBOR BLVD
Practice Address - Street 2:SUITE I
Practice Address - City:FOUNTAIN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92708-1327
Practice Address - Country:US
Practice Address - Phone:714-775-2600
Practice Address - Fax:714-775-2622
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA541192080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine