Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | A035613 | CA |
Y | 208600000X | Surgeon | A035613 | CA |
NPI | 1003910282 |
---|---|
Provider Name | Dr. Trung Buu Nguyen |
First Address | Pasadena, CA 91188-0001 |
Second Address | Bellflower, CA 90706 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/09/2006 |
Last Update Date | 13/10/2021 |