Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | A160141 | CA |
Y | 111NI0900X | Internist | A160141 | CA |
N | 207RH0003X | Hematology & Oncology | A160141 | CA |
NPI | 1053846485 |
---|---|
Provider Name | Michael Huy Khiem Nguyen |
First Address | Loma Linda, CA 92350-1700 |
Second Address | Loma Linda, CA 92350-1700 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/04/2017 |
Last Update Date | 06/05/2021 |