Chan Le Nguyen MD Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

A100830 Issued in CA

Legal business name

CHAN LE NGUYEN MD INC

Practice address

16027 Brookhurst St
Ste G-171
Fountain Valley, CA 92708-1551

Phone

(714) 604-9601

Fax

(714) 964-9019

NPI assigned

Sep 9, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Chan Nguyen, M.D.

Title

President

Phone

(714) 604-9601

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1252454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252454400000",
    "number": "1104159201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16027 BROOKHURST ST",
            "address_2": "STE G-171",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927081551",
            "telephone_number": "714-604-9601",
            "fax_number": "714-964-9019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16027 BROOKHURST ST",
            "address_2": "STE G-171",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927081551",
            "telephone_number": "714-604-9601",
            "fax_number": "714-964-9019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAN LE NGUYEN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-09",
        "last_updated": "2009-09-09",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "CHAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-604-9601",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "A100830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelley Chacon, MD
• Chad Carman DO and Associates a California Medical Corporation
• Kenneth L Chambers, M.D., M.P.H
• Sheila Walcott Chambers
• Chan Kieu MD Inc
• Chiwai E Chan, D.O.
• David Deguire Chan, D.O.
• Doris Chan
• Julie Chan, PT, DPT
• Lisa Mika Chan, PA-C

• Clinic/Center in Fountain Valley, CA
• Providers in Fountain Valley, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.