Provider Demographics
NPI:1144953738
Name:TRIET M. NGUYEN, M.D., INC.
Entity type:Organization
Organization Name:TRIET M. NGUYEN, M.D., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:TRIET
Authorized Official - Middle Name:MINH
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:MEDICAL DOCTOR
Authorized Official - Phone:714-899-0054
Mailing Address - Street 1:P.O BOX 2247
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CA
Mailing Address - Zip Code:92684-2247
Mailing Address - Country:US
Mailing Address - Phone:714-899-0054
Mailing Address - Fax:714-899-0117
Practice Address - Street 1:14501 MAGNOLIA AVE, UNITS 103
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CA
Practice Address - Zip Code:92683-4661
Practice Address - Country:US
Practice Address - Phone:714-899-0054
Practice Address - Fax:714-899-0117
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-01
Last Update Date:2023-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty