Provider Demographics
NPI:1295265957
Name:NGUYEN T. DO, D.O., INC
Entity type:Organization
Organization Name:NGUYEN T. DO, D.O., INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NGUYEN
Authorized Official - Middle Name:TRONG
Authorized Official - Last Name:DO
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:925-365-1519
Mailing Address - Street 1:2301 CAMINO RAMON STE 140
Mailing Address - Street 2:
Mailing Address - City:SAN RAMON
Mailing Address - State:CA
Mailing Address - Zip Code:94583-2000
Mailing Address - Country:US
Mailing Address - Phone:925-365-1519
Mailing Address - Fax:925-365-1248
Practice Address - Street 1:2135 AIRPARK DR STE B
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96001-2414
Practice Address - Country:US
Practice Address - Phone:530-605-4316
Practice Address - Fax:530-605-4318
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-15
Last Update Date:2017-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A9031207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Single Specialty