Look up the most recent NPI and PECOS records

Diem-Khanh Victoria Nguyen

Psychiatry & Neurology

Allopathic & Osteopathic Physicians

1200 N State St, Clinic Tower, Suite A7d, Los Angeles, CA 90033-1029

PECOS Enrollment

This provider is enrolled in PECOS as DIEM-KHANH NGUYEN.

Based on the most recent information from CMS, provider Diem-Khanh Victoria Nguyen is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 34 days ago.

Profile Details

Provider ID
1265282149
Provider Type
Individual
Full Name
Nguyen, Diem-Khanh Victoria
Title
Dr.
Credential
MD

Gender
Female
Sole Proprietor
Yes
Enumeration Date
3/25/2024
Last Updated
7/29/2025

Contact Information

Practice Location

1200 N State St, Clinic Tower, Suite A7d, Los Angeles, CA 90033-1029

(323) 409-5555

Unlisted Fax

Mailing Location

1200 N State St, Clinic Tower, Suite A7d, Los Angeles, CA 90033-1029

(323) 409-5555

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 2084P0800X Primary	Description Psychiatry & Neurology Allopathic & Osteopathic Physicians	License 15238 California
Code 390200000X	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer

Diem-Khanh Victoria Nguyen

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

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