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Provider Information for 1124011952

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

HOANG NGUYEN M.D

Gender: MALE

Individual NPI: 1124011952

Calendar   Last Updated:  2011-08-10
  Certification Date: 

Details

Name Value
NPI 1124011952
Enumeration Date 2005-08-26
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 3930 BRIDLECREST AVE
SIMI VALLEY, CA 93063-0200
United States

Phone: 818-481-0118 | Fax: 818-584-8926
View Map External Link
Primary Practice Address 22135 ROSCOE BLVD SUITE 107
CANOGA PARK, CA 91304-3885
United States

Phone: 818-481-0118 | Fax: 818-584-8926
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 207Q00000X - Family Medicine CA A 60675