NPIMap

Organization Active NPI

Hoang Duc Nguyen, M.D., Inc.

  • Primary Care Clinic/Center
  • Canoga Park, CA
National Provider Identifier
1972161255
Registry record updated Jun 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
HOANG DUC NGUYEN, M.D., INC.
Practice address
22110 Roscoe Blvd Ste 100
Canoga Park, CA 91304-3875
Phone
(818) 481-0118
Fax
(818) 584-8926
NPI assigned
Jun 3, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2019

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

Authorized official

Name
Dr. Hoang Duc Nguyen, MDNPI 1124011952
Title
Ceo
Phone
(818) 481-0118

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

22110 Roscoe Blvd Ste 100
Canoga Park, CA 91304-3875

Mailing address

22110 Roscoe Blvd Ste 100
Canoga Park, CA 91304-3875
Phone (818) 481-0118

National Provider Directory

National Provider Directory

Locations

22110 Roscoe Blvd
Ste 100
West Hills, CA 91304
Phone (818) 481-0118

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1559520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559520000000",
    "number": "1972161255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22110 ROSCOE BLVD STE 100",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913043875",
            "telephone_number": "818-481-0118",
            "fax_number": "818-584-8926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22110 ROSCOE BLVD STE 100",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913043875",
            "telephone_number": "818-481-0118",
            "fax_number": "818-584-8926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOANG DUC NGUYEN, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-03",
        "last_updated": "2019-06-03",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "HOANG",
        "authorized_official_middle_name": "DUC",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-481-0118",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canoga Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.