Provider Demographics
NPI:1821280264
Name:NGUYEN, HUY THUONG (MD)
Entity Type:Individual
Prefix:
First Name:HUY
Middle Name:THUONG
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 1:1000 CARSON ST, PO BOX 2910
Mailing Address - Street 2:DEPARTMENT OF RADIOLOGY BOX 27
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90509-2910
Mailing Address - Country:US
Mailing Address - Phone:310-222-2847
Mailing Address - Fax:310-618-9500
Practice Address - Street 1:1000 CARSON ST
Practice Address - Street 2:DEPARTMENT OF RADIOLOGY
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90509-2910
Practice Address - Country:US
Practice Address - Phone:310-222-2847
Practice Address - Fax:310-618-9500
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-09
Last Update Date:2021-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA92726390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program