CHAN LE NGUYEN MD INC (NPI# 1104159201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104159201 |
| Entity Type | Organization |
| Organization Name | CHAN LE NGUYEN MD INC |
| Practice Address |
16027 Brookhurst St Ste G-171 Fountain Valley CA 92708-1551 |
| Practice Telephone | 7146049601 |
| Practice Fax Number | 7149649019 |
| Mailing Telephone | 7146049601 |
| Mailing Fax Number | 7149649019 |
| Enumeration Date | 2009-09-09 |
| Last Update Date | 2009-09-09 |
| Authorized Official Name | DR. CHAN NGUYEN (PRESIDENT) |
| Authorized Official Telephone | 7146049601 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | A100830 | CA | Ambulatory Health Care Facilities |
| Street Address |
16027 BROOKHURST ST STE G-171 |
| City | FOUNTAIN VALLEY |
| State | CA |
| Zip Code | 92708-1551 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174583033 | Andy Ngoc Truong | Internal Medicine | 16027 Brookhurst St, G-135, Fountain Valley, CA 92708-1551 | 2006-03-24 |
| 1811098064 | Monglan Ho D.d.s., Inc. | Dentist | 16027 Brookhurst St, Suite J, Fountain Valley, CA 92708-1551 | 2006-09-26 |
| 1770507659 | Tina U. Dao | Optometrist | 16027 Brookhurst St, Suite E, Fountain Valley, CA 92708-1551 | 2006-07-26 |
| 1447211495 | Andy N Truong M.d, Inc. | Internal Medicine | 16027 Brookhurst St, G-135, Fountain Valley, CA 92708-1551 | 2006-03-29 |
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|---|---|---|---|---|
| 1932716222 | Changing Directions Psychological Corporation | Psychologist | 17280 Newhope Street, Suite 4, Fountain Valley, CA 92708 | 2020-09-30 |
| 1124632757 | Neck & Back Pain Specialists, A Balta Chiropractic Corporation | Chiropractor | 10231 Slater Ave. #113, Fountain Valley, CA 92708 | 2020-09-01 |
| 1295205425 | Alexander Nee Dds Inc | Dentist | 337 S Rancho Santa Fe Rd, San Marcos, CA 92708 | 2018-11-30 |
| 1093293052 | Claudia Raquel Santos | Physical Therapist | 18384 Brookhurst Street, Fountain Valley, CA 92708 | 2018-08-01 |
| 1659864338 | Orange County Respiratory Physicians Corp | Internal Medicine | 18111 Brookhurst St Ste 4600, Fountain Valley, CA 92708 | 2018-06-07 |
| 1992297881 | Ereny Abdelmalak Metry | Pharmacist | 9064 Daffodil Ave, Fountain Valley, CA 92708 | 2018-06-06 |
| 1144746348 | Goose Pharma, LLC | Pharmacy | 18049 Magnolia Street, Fountain Valley, CA 92708 | 2017-08-18 |
| 1932622347 | Mayra Alejandra Guerra | Social Worker | 18350 Mt Langley St, Suite 200, Fountain Valley, CA 92708 | 2017-07-18 |
| 1942722129 | Graph Surgery Inc | Plastic Surgery | 10760 Warner Ave, Ste 201, Fountain Valley, CA 92708 | 2017-07-10 |
| 1871022277 | Cathy A Castagna-petersen | Counselor | 10529 Slater Avenue, Fountain Valley, CA 92708 | 2017-06-08 |
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| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821363706 | David Dc Nguyen, Md, Corp | Clinic/Center | 16040 Harbor Blvd Ste I, Fountain Valley, CA 92708-1327 | 2012-03-12 |
| 1619587797 | True Pacific Medical Corporation | Clinic/Center | 9940 Talbert Ave Ste 100, Fountain Valley, CA 92708-5153 | 2020-08-04 |
| 1104446632 | Moving Forward Psychological Institute, Inc | Clinic/Center | 17150 Newhope St Ste 205, Fountain Valley, CA 92708-4250 | 2020-04-24 |
| 1194281899 | Brandon Richland Md Inc. | Clinic/Center | 9900 Talbert Ave # 101, Fountain Valley, CA 92708-5153 | 2019-02-18 |
| 1306080098 | Dr. Anna Liu, Inc. | Clinic/Center | 11100 Warner Ave, 358, Fountain Valley, CA 92708-7506 | 2009-04-24 |
| 1831381664 | William I. Han, M.d. Inc | Clinic/Center | 17150 Euclid St, Suite 220, Fountain Valley, CA 92708-4092 | 2007-08-15 |
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| City | FOUNTAIN VALLEY |
| Zip Code | 92708 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.