Tom Le Nguyen D.O. Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

TOM LE NGUYEN D.O. INC

Practice address

625 E Valley Blvd
Suite H & I
San Gabriel, CA 91776-3591

Phone

(626) 572-4658

Fax

(626) 572-4336

NPI assigned

Aug 11, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Tom L Nguyen, D.O.

Title

President

Phone

(760) 220-4575

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hy Phung Ngo, MD

  • Internal Medicine Physician
  • San Gabriel, CA
  • NPI 1871658492
  NPD (past)

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

{
    "created_epoch": "1218412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218412800000",
    "number": "1760638761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 E VALLEY BLVD",
            "address_2": "SUITE H & I",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917763591",
            "telephone_number": "626-572-4658",
            "fax_number": "626-572-4336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 E VALLEY BLVD",
            "address_2": "SUITE H & I",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917763591",
            "telephone_number": "626-572-4658",
            "fax_number": "626-572-4336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOM LE NGUYEN D.O. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-11",
        "last_updated": "2008-08-11",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "TOM",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-220-4575",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "20A9384",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in San Gabriel, CA
• Providers in San Gabriel, 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 Aug 11, 2008; 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.