Provider Demographics
NPI:1265693170
Name:NGUYEN, FRANCIS JOHNSON
Entity type:Individual
Prefix:DR
First Name:FRANCIS
Middle Name:JOHNSON
Last Name:NGUYEN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:728 S HOLLENBECK AVE
Mailing Address - Street 2:
Mailing Address - City:COVINA
Mailing Address - State:CA
Mailing Address - Zip Code:91723-3324
Mailing Address - Country:US
Mailing Address - Phone:626-991-7742
Mailing Address - Fax:
Practice Address - Street 1:728 S HOLLENBECK AVE
Practice Address - Street 2:
Practice Address - City:COVINA
Practice Address - State:CA
Practice Address - Zip Code:91723-3324
Practice Address - Country:US
Practice Address - Phone:626-991-7742
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-23
Last Update Date:2014-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA110051207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1265693170Medicaid
CA1265693170Medicaid