Trung Tan Nguyen
Obstetrician & Gynecologist Gynecologic Oncologist
782 Medical Center Dr E # 212
Clovis
, California 93611-6889
Trung Tan Nguyen
Obstetrician & Gynecologist Gynecologic Oncologist
782 Medical Center Dr E # 212
Clovis
, California 93611-6889
(559) 443-2681
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About
Features
Specialties
- Obstetrician & Gynecologist
- Gynecologic Oncologist
Languages spoken
- English
Location
First Address
- Trung Tan Nguyen
- 2625 E Divisadero St
- Fresno, CA
- Zip : 93721-1431
- Fax : (559) 443-2681
- Phone : (559) 443-2682
Second Address
- Trung Tan Nguyen
- 782 Medical Center Dr E # 212
- Clovis, CA
- Zip : 93611-6889
- Fax : (559) 451-3680
- Phone : (559) 451-3676
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207V00000X | Obstetrician & Gynecologist | 20A10394 | CA |
| Y | 207VX0201X | Gynecologic Oncologist | 20A10394 | CA |
National Provider Identifier
| NPI | 1134331549 |
|---|---|
| Provider Name | Trung Tan Nguyen |
| First Address | Fresno, CA 93721-1431 |
| Second Address | Clovis, CA 93611-6889 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/05/2007 |
| Last Update Date | 09/10/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 20A10394 | CA STATE LICENSE (01) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.