Provider Demographics
NPI:1982834057
Name:THOMAS THONG HUU NGUYEN, MD. INC
Entity Type:Organization
Organization Name:THOMAS THONG HUU NGUYEN, MD. INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:THONG HUU
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:760-946-5177
Mailing Address - Street 1:18144 US HIGHWAY 18
Mailing Address - Street 2:SUITE 140
Mailing Address - City:APPLE VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92307-2212
Mailing Address - Country:US
Mailing Address - Phone:760-946-5177
Mailing Address - Fax:760-946-5133
Practice Address - Street 1:18144 US HIGHWAY 18
Practice Address - Street 2:SUITE 140
Practice Address - City:APPLE VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92307-2212
Practice Address - Country:US
Practice Address - Phone:760-946-5177
Practice Address - Fax:760-946-5133
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-22
Last Update Date:2009-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA90332207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty