Provider Demographics
NPI:1336917285
Name:NGUYEN, ADAM DUY (PA)
Entity Type:Individual
Prefix:MR
First Name:ADAM
Middle Name:DUY
Last Name:NGUYEN
Suffix:
Gender:M
Credentials:PA
Other - Prefix:
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Mailing Address - Street 1:1517 N BUSH ST
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92701-2314
Mailing Address - Country:US
Mailing Address - Phone:714-603-2313
Mailing Address - Fax:
Practice Address - Street 1:1530 E EDINGER AVE STE 1
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92705-4915
Practice Address - Country:US
Practice Address - Phone:714-442-0600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-19
Last Update Date:2024-03-05
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant