Tiep Kim Nguyen MD Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

TIEP KIM NGUYEN MD INC

Practice address

12650 Sherman Way
Suite 3
North Hollywood, CA 91605-5232

Phone

(818) 764-5775

Fax

(818) 764-6273

NPI assigned

Dec 21, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Tiep Kim Nguyen, M.D

Title

Physician

Phone

(818) 764-5775

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298678400000",
    "number": "1215091434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12650 SHERMAN WAY",
            "address_2": "SUITE3",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "91605",
            "telephone_number": "818-764-5775",
            "fax_number": "818-764-6273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12650 SHERMAN WAY",
            "address_2": "SUITE 3",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916055232",
            "telephone_number": "818-764-5775",
            "fax_number": "818-764-6273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIEP KIM NGUYEN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2011-02-26",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "TIEP",
        "authorized_official_middle_name": "KIM",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "818-764-5775",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in North Hollywood, CA
• Providers in North Hollywood, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2011; 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.