Nguyen, Son Ngoc

Nguyen, Son Ngoc is an individual health care provider with primary practice located at 2150 N Waterman Ave Ste 202, San Bernardino CA 92404-4811. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Nguyen, Son Ngoc can be contacted via phone (909) 383-9385.

Contact Information

Primary practice address
2150 N Waterman Ave Ste 202 San Bernardino CA 92404-4811
Phone: (909) 383-9385
Fax: (909) 882-2463
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A49188 California

Profile Details

NPI number 1376593889
LBN Legal business name Nguyen, Son Ngoc
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Jun 4th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376593889 NPPES
California Other ZZZ43246Z BLUE SHIELD OF CA
California MEDICAID 1376593889 BLUE SHIELD OF CA
California MEDICAID 1235318445 BLUE SHIELD OF CA

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