Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | 20A6429 | CA |
N | 207QG0300X | Family Doctor - Geriatric Medicine | 20A6429 | CA |
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 20A6429 | CA |
NPI | 1073603361 |
---|---|
Provider Name | Dr. Vincent D Nguyen |
First Address | Newport Beach, CA 92659-8589 |
Second Address | Newport Beach, CA 92663-4162 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/10/2006 |
Last Update Date | 24/05/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G32889 | (02) | CA |