Provider Demographics
NPI:1275321473
Name:DINH T. NGUYEN, MD, INC.
Entity type:Organization
Organization Name:DINH T. NGUYEN, MD, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DINH
Authorized Official - Middle Name:TRUONG
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:714-980-0723
Mailing Address - Street 1:1207 MIRA MAR AVE APT 106
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90804-4156
Mailing Address - Country:US
Mailing Address - Phone:714-908-0723
Mailing Address - Fax:
Practice Address - Street 1:9681 GARDEN GROVE BLVD STE 104
Practice Address - Street 2:
Practice Address - City:GARDEN GROVE
Practice Address - State:CA
Practice Address - Zip Code:92844-1548
Practice Address - Country:US
Practice Address - Phone:714-462-6062
Practice Address - Fax:714-462-6072
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-28
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No208600000XAllopathic & Osteopathic PhysiciansSurgery
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice