Nguyen, Dat Q

Nguyen, Dat Q is an sole proprietor health care provider with primary practice located at 12954 Hawthorne Blvd Suite 104, Hawthorne CA 90250-4418. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Nguyen, Dat Q can be contacted via phone (310) 679-0269.

Contact Information

Primary practice address
12954 Hawthorne Blvd Suite 104 Hawthorne CA 90250-4418
Fax: (310) 679-1038
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X G77541 California

Profile Details

NPI number 1720092315
LBN Legal business name Nguyen, Dat Q
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 28th, 2006
Last updated Dec 21st, 2011 - about 14 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1720092315 NPPES
California MEDICAID 00G775410

Popular Providers