Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | 45595 | CA |
Y | 213EG0000X | General Practice | 45595 | CA |
NPI | 1003092024 |
---|---|
Provider Name | Dr. Thomas K Nguyen |
First Address | Hayward, CA 94544-7417 |
Second Address | Hayward, CA 94544-7417 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/01/2008 |
Last Update Date | 21/01/2008 |