Provider Demographics
NPI:1326004821
Name:NGUYEN, HUY MINH (MD)
Entity type:Individual
Prefix:DR
First Name:HUY
Middle Name:MINH
Last Name:NGUYEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:573 CENTER DR
Mailing Address - Street 2:
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94301-3102
Mailing Address - Country:US
Mailing Address - Phone:650-400-6101
Mailing Address - Fax:650-322-2673
Practice Address - Street 1:3200 21ST ST STE 301
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93301-3108
Practice Address - Country:US
Practice Address - Phone:650-400-6101
Practice Address - Fax:650-322-2673
Is Sole Proprietor?:No
Enumeration Date:2006-04-24
Last Update Date:2015-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA87642207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ34009ZMedicare PIN
CACA139829Medicare PIN