Provider Demographics
NPI:1215126800
Name:NGUYEN, THOMAS THONG HUU (MD,)
Entity type:Individual
Prefix:DR
First Name:THOMAS THONG
Middle Name:HUU
Last Name:NGUYEN
Suffix:
Gender:M
Credentials:MD,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12595 HESPERIA RD STE 101
Mailing Address - Street 2:
Mailing Address - City:VICTORVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:92395-5882
Mailing Address - Country:US
Mailing Address - Phone:760-881-3377
Mailing Address - Fax:760-881-3379
Practice Address - Street 1:12595 HESPERIA RD STE 101
Practice Address - Street 2:
Practice Address - City:VICTORVILLE
Practice Address - State:CA
Practice Address - Zip Code:92395-5882
Practice Address - Country:US
Practice Address - Phone:760-881-3377
Practice Address - Fax:760-881-3379
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-18
Last Update Date:2015-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA90332207R00000X, 207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine