Provider Demographics
NPI:1841741766
Name:ALPHA HOSPITALIST GROUP
Entity Type:Organization
Organization Name:ALPHA HOSPITALIST GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INTERNIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CHIDAO
Authorized Official - Middle Name:
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:909-786-5061
Mailing Address - Street 1:9353 BOLSA AVE
Mailing Address - Street 2:A100
Mailing Address - City:WESTMINSTER
Mailing Address - State:CA
Mailing Address - Zip Code:92683-5951
Mailing Address - Country:US
Mailing Address - Phone:180-046-1465
Mailing Address - Fax:714-333-4838
Practice Address - Street 1:9353 BOLSA AVE
Practice Address - Street 2:A100
Practice Address - City:WESTMINSTER
Practice Address - State:CA
Practice Address - Zip Code:92683-5951
Practice Address - Country:US
Practice Address - Phone:180-046-1465
Practice Address - Fax:714-333-4838
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-14
Last Update Date:2016-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95003419363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty