Provider Demographics
NPI:1811948680
Name:NGUYEN, DAO BICH (MD)
Entity type:Individual
Prefix:
First Name:DAO
Middle Name:BICH
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9211 BOLSA AVE
Mailing Address - Street 2:SUITE 220
Mailing Address - City:WESTMINSTER
Mailing Address - State:CA
Mailing Address - Zip Code:92683
Mailing Address - Country:US
Mailing Address - Phone:714-898-9966
Mailing Address - Fax:714-898-6174
Practice Address - Street 1:9211 BOLSA AVE
Practice Address - Street 2:SUITE 220
Practice Address - City:WESTMINSTER
Practice Address - State:CA
Practice Address - Zip Code:92683
Practice Address - Country:US
Practice Address - Phone:714-898-9966
Practice Address - Fax:714-898-6174
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-15
Last Update Date:2012-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA43110207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA431100Medicaid
CAA431100Medicaid
E70498Medicare UPIN