THIEU QUANG NGUYEN

PORTERVILLE, CA
NPI1720469919
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: CA  A152506)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2015-06-12
Last Update Date2019-02-11
Business Address
THIEU QUANG NGUYEN M.D.
465 W PUTNAM AVE
PORTERVILLE, CA 93257
Phone number: 559-784-1110
Mailing Address
THIEU QUANG NGUYEN M.D.
465 W PUTNAM AVE
PORTERVILLE, CA 93257-3320
Phone number: 559-784-1110