Provider Demographics
NPI:1023488806
Name:NGUYEN, HUNG HOANG (MD)
Entity type:Individual
Prefix:
First Name:HUNG
Middle Name:HOANG
Last Name:NGUYEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:662 ENCINITAS BLVD STE 204
Mailing Address - Street 2:
Mailing Address - City:ENCINITAS
Mailing Address - State:CA
Mailing Address - Zip Code:92024-6789
Mailing Address - Country:US
Mailing Address - Phone:833-446-6363
Mailing Address - Fax:606-337-8797
Practice Address - Street 1:662 ENCINITAS BLVD STE 204
Practice Address - Street 2:
Practice Address - City:ENCINITAS
Practice Address - State:CA
Practice Address - Zip Code:92024-6789
Practice Address - Country:US
Practice Address - Phone:833-446-6363
Practice Address - Fax:606-337-8797
Is Sole Proprietor?:No
Enumeration Date:2015-10-06
Last Update Date:2025-04-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA142209208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology