Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207K00000X | Allergist & Immunologist | A92171 | CA |
N | 207R00000X | Internist | A91271 | CA |
N | 111NI0900X | Internist | A91271 | CA |
Y | 207RA0201X | Internist - Allergy & Immunology | A91271 | CA |
NPI | 1225217425 |
---|---|
Provider Name | Dr. Joseph Nguyen |
First Address | Santa Ana, CA 92706-2812 |
Second Address | Orange, CA 92868-3201 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/10/2007 |
Last Update Date | 06/04/2021 |