Nguyen, Ken

Nguyen, Ken is an individual health care provider with primary practice located at 8110 Mango Ave , Fontana CA 92335-3603. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Nguyen, Ken can be contacted via phone (909) 822-1164.

Contact Information

Primary practice address
8110 Mango Ave Fontana CA 92335-3603
Phone: (909) 822-1164
Fax: (909) 357-2235
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 20A8914 California

Profile Details

NPI number 1851351894
LBN Legal business name Nguyen, Ken
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2006
Last updated Jul 17th, 2018 - about 6 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 1851351894 NPPES
California MEDICAID 00AX69140

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