Provider Demographics
NPI:1962280438
Name:MINHTHAO THI NGUYEN DO INC
Entity type:Organization
Organization Name:MINHTHAO THI NGUYEN DO INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ENDOCRINOLOGY
Authorized Official - Prefix:
Authorized Official - First Name:MINHTHAO
Authorized Official - Middle Name:THI
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:714-274-5580
Mailing Address - Street 1:10301 BOLSA AVE STE 103
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CA
Mailing Address - Zip Code:92683-6784
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:10301 BOLSA AVE STE 103
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CA
Practice Address - Zip Code:92683-6784
Practice Address - Country:US
Practice Address - Phone:657-606-1484
Practice Address - Fax:657-600-6648
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-18
Last Update Date:2024-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Single Specialty