Provider Demographics
NPI:1386698660
Name:NGUYEN, ANHTUAN DUY (MD)
Entity type:Individual
Prefix:DR
First Name:ANHTUAN
Middle Name:DUY
Last Name:NGUYEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:14541 BROOKHURST ST
Mailing Address - Street 2:SUITE D2
Mailing Address - City:WESTMINSTER
Mailing Address - State:CA
Mailing Address - Zip Code:92683-5700
Mailing Address - Country:US
Mailing Address - Phone:714-531-2000
Mailing Address - Fax:714-531-5000
Practice Address - Street 1:14541 BROOKHURST ST
Practice Address - Street 2:SUITE D2
Practice Address - City:WESTMINSTER
Practice Address - State:CA
Practice Address - Zip Code:92683-5700
Practice Address - Country:US
Practice Address - Phone:714-531-2000
Practice Address - Fax:714-531-5000
Is Sole Proprietor?:No
Enumeration Date:2006-05-20
Last Update Date:2020-11-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA62375207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A623750Medicaid
H13046Medicare UPIN
CA00A623750Medicaid