Tan Van Nguyen, M.D., Inc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

00A053027 Issued in CA

Legal business name

TAN VAN NGUYEN, M.D., INC

Practice address

9646 Garvey Ave Ste 101
S El Monte, CA 91733-4600

Phone

(626) 450-0777

Fax

(626) 450-0776

NPI assigned

Jul 6, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Tan Van Nguyen, M.D.

Title

Authorized Official

Phone

(626) 450-0777

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437180395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9646 GARVEY AVE STE 101",
            "city": "S EL MONTE",
            "state": "CA",
            "postal_code": "917334600",
            "telephone_number": "626-450-0777",
            "fax_number": "626-450-0776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9646 GARVEY AVE STE 101",
            "city": "S EL MONTE",
            "state": "CA",
            "postal_code": "917334600",
            "telephone_number": "626-450-0777",
            "fax_number": "626-450-0776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAN VAN NGUYEN, M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "TAN",
        "authorized_official_middle_name": "VAN",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "626-450-0777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "00A053027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Tan Van Nguyen MD, Inc.
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• Primary Care Clinic/Center in S El Monte, CA
• Providers in S El Monte, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.