Provider Demographics
NPI:1134178486
Name:NGUYEN, RICHARD L (MD)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:L
Last Name:NGUYEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1244 W BEVERLY DR
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92868-2108
Mailing Address - Country:US
Mailing Address - Phone:714-633-9442
Mailing Address - Fax:714-638-4499
Practice Address - Street 1:9746 WESTMINSTER AVE
Practice Address - Street 2:STE A
Practice Address - City:GARDEN GROVE
Practice Address - State:CA
Practice Address - Zip Code:92844-2984
Practice Address - Country:US
Practice Address - Phone:714-638-4433
Practice Address - Fax:715-638-4499
Is Sole Proprietor?:No
Enumeration Date:2006-05-06
Last Update Date:2012-02-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG77473207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G774730Medicaid
CA00G774730Medicaid
CAF44419Medicare UPIN