Provider Demographics
NPI:1740316272
Name:NGUYEN, MINH D (MD)
Entity type:Individual
Prefix:DR
First Name:MINH
Middle Name:D
Last Name:NGUYEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 31309
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90031-0309
Mailing Address - Country:US
Mailing Address - Phone:949-722-0350
Mailing Address - Fax:949-722-1986
Practice Address - Street 1:300 OLD NEWPORT BLVD
Practice Address - Street 2:
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92663-4121
Practice Address - Country:US
Practice Address - Phone:949-722-0350
Practice Address - Fax:949-722-1986
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-26
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA98526207RX0202X, 207RH0003X
MI4301080493207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology