Lien Huyen Thi Nguyen, MD., Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

00A373770 Issued in CA

Legal business name

LIEN HUYEN THI NGUYEN, MD., INC.

Practice address

73 W March LN
Ste. C
Stockton, CA 95207-5726

Phone

(209) 957-3901

Fax

(209) 957-2857

NPI assigned

Dec 28, 2006

Last updated

Oct 13, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Leu Vang

Title

Manager

Phone

(209) 957-3901

Specialties & licenses 2

Addresses

Other identifiers 4

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255392000000",
    "number": "1538225156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 W MARCH LN",
            "address_2": "STE. C",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952075726",
            "telephone_number": "209-957-3901",
            "fax_number": "209-957-2857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 W MARCH LN",
            "address_2": "STE. C",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952075726",
            "telephone_number": "209-957-3901",
            "fax_number": "209-957-2857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIEN HUYEN THI NGUYEN, MD., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2009-10-13",
        "status": "A",
        "authorized_official_last_name": "VANG",
        "authorized_official_first_name": "LEU",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "209-957-3901"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "00A373770",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "00A373770",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A373770",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A601920",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6469530",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0079390",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Stockton, CA
• Providers in Stockton, 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 Oct 13, 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.