Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YS0123X | Facial Plastic Surgeon | A84628 | CA |
NPI | 1861648214 |
---|---|
Provider Name | Dr. Davis B Nguyen |
First Address | Beverly Hills, CA 90212-2107 |
Second Address | Beverly Hills, CA 90212-2107 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/08/2008 |
Last Update Date | 03/04/2009 |