Provider Demographics
NPI:1700038577
Name:NGUYEN, TUNG HUU (MD)
Entity Type:Individual
Prefix:DR
First Name:TUNG
Middle Name:HUU
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 1:9822 BOLSA AVE STE F
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CA
Mailing Address - Zip Code:92683-6870
Mailing Address - Country:US
Mailing Address - Phone:714-775-7000
Mailing Address - Fax:714-775-5200
Practice Address - Street 1:9822 BOLSA AVE STE F
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CA
Practice Address - Zip Code:92683-6870
Practice Address - Country:US
Practice Address - Phone:714-775-7000
Practice Address - Fax:714-775-5200
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-10
Last Update Date:2020-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA105800207R00000X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine