Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0002X | Hospice and Palliative Medicine | A156371 | CA |
NPI | 1255717823 |
---|---|
Provider Name | Dr. Robert T. Nguyen |
First Address | Irvine, CA 92602-1362 |
Second Address | Irvine, CA 92602 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/08/2015 |
Last Update Date | 08/11/2019 |