Khoi Dinh Nguyen Medical Office Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

KHOI DINH NGUYEN MEDICAL OFFICE INC

Practice address

12372 Garden Grove Blvd Ste B
Garden Grove, CA 92843-1804

Phone

(714) 345-1441

NPI assigned

Jul 26, 2019

Organization subpart

No

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

Authorized official

Name

Khoi Dinh Nguyen, MD

Title

Owner

Phone

(714) 345-1441

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1564099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564099200000",
    "number": "1104470301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12372 GARDEN GROVE BLVD STE B",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928431804",
            "telephone_number": "714-345-1441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12372 GARDEN GROVE BLVD STE B",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928431804",
            "telephone_number": "714-345-1441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHOI DINH NGUYEN MEDICAL OFFICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-26",
        "last_updated": "2019-07-26",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "KHOI",
        "authorized_official_middle_name": "DINH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-345-1441",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA MEDICAL LICENSE",
            "identifier": "A51519",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Farzana Khan
• Rayhan Khan
• Khanh Bao Nguyen MD Inc
• Khiem D Lai MD Inc
• Khiem PV Nguyen MD Cardiology Associates Medical Group Inc
• Khoi Quang Tang, M.D., Inc.
• Tasneem Khraisat
• Diem Phuong Khuu, PHARM.D
• Grace Kiarie
• Kid Fundamentals Therapy Center, Inc.

• Family Medicine Physician in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2019; 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.