Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN0400X | Neurology | DC24184 | CA |
NPI | 1023387263 |
---|---|
Provider Name | Dr. Dennis Son Nguyen |
First Address | Sacramento, CA 95828-9313 |
Second Address | Sacramento, CA 95828-9313 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/12/2011 |
Last Update Date | 16/12/2011 |