Nguyen, Chi M

Nguyen, Chi M is an individual health care provider with primary practice located at 17100 Euclid Avenue , Fountain Valley CA 92708. He recently has 2 registered licenses in different health care specialties including Emergency Medical Service Providers / Personal Emergency Response Attendant, Allopathic & Osteopathic Physicians / Emergency Medicine. Emergency Medical Service Providers / Personal Emergency Response Attendant is his primary health care specialty. Nguyen, Chi M can be contacted via phone (714) 966-8105.

Contact Information

Primary practice address
17100 Euclid Avenue Fountain Valley CA 92708
Phone: (714) 966-8105
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Emergency Medical Service Providers / Personal Emergency Response Attendant 146D00000X G77715 California
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X G77715 California

Profile Details

NPI number 1972569903
LBN Legal business name Nguyen, Chi M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated May 19th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972569903 NPPES
California MEDICAID 00G777150

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