Nguyen, Phu Thien

Nguyen, Phu Thien is an individual health care provider with primary practice located at 12555 Garden Grove Blvd Suite 301, Garden Grove CA 92843-1902. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Nguyen, Phu Thien can be contacted via phone (714) 741-0501.

Contact Information

Primary practice address
12555 Garden Grove Blvd Suite 301 Garden Grove CA 92843-1902
Fax: (714) 741-0095
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 20A7161 California

Profile Details

NPI number 1386642866
LBN Legal business name Nguyen, Phu Thien
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2005
Last updated Feb 18th, 2012 - about 13 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 1386642866 NPPES
California MEDICAID 00AX71610

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