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Contact Information

BAC H NGUYEN, MD
933 S SUNSET AVENUE
SUITE # 307
WEST COVINA, CA91790
 Phone: 626-962-6811
 Fax: 626-960-9520
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for BAC H NGUYEN · (Male)

NPI # 1851400527
Status Active
Credentials MD
Entity Individual
Enumeration date 08/29/2006
Last updated 07/17/2008 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # G79012
  • CA Medicaid 00G790120
  • CA Other G79012 PTAN
Hospital affiliation(s)
  • CITRUS VALLEY MEDICAL CENTER-IC CAMPUS - (Acute Care)
    210 W SAN BERNARDINO ROAD
    COVINA, CA 91723
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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