Provider Demographics
NPI:1457032732
Name:D WILLIAM NGUYEN MD APC
Entity Type:Organization
Organization Name:D WILLIAM NGUYEN MD APC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MAI
Authorized Official - Middle Name:LINH
Authorized Official - Last Name:HOANG
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMMD
Authorized Official - Phone:858-349-3760
Mailing Address - Street 1:PO BOX 8005
Mailing Address - Street 2:
Mailing Address - City:RANCHO SANTA FE
Mailing Address - State:CA
Mailing Address - Zip Code:92067-8005
Mailing Address - Country:US
Mailing Address - Phone:858-349-3760
Mailing Address - Fax:
Practice Address - Street 1:5565 GROSSMONT CENTER DR STE 229
Practice Address - Street 2:
Practice Address - City:LA MESA
Practice Address - State:CA
Practice Address - Zip Code:91942-3026
Practice Address - Country:US
Practice Address - Phone:858-349-3760
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-28
Last Update Date:2023-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Multi-Specialty
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty