Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | A55583 | CA |
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | A55583 | CA |
NPI | 1710039185 |
---|---|
Provider Name | Nguyen K. Nguyen |
First Address | Bellflower, CA 90706-2246 |
Second Address | Bellflower, CA 90706-2246 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/01/2007 |
Last Update Date | 02/12/2021 |