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Contact Information

STEPHANIE A NGUYEN, DO
3102 E. HIGHLAND AVENUE
MEDICAL STAFF OFFICE
PATTON, CA92369
 Phone: 909-425-7679
 Fax: 909-425-6635
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adult Medicine

207QA0505X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for STEPHANIE A NGUYEN · (Female)

NPI # 1114033388
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 08/21/2006
Last updated 08/08/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 20A7978
  • CA Medicaid 00AX79780
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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