OrganizationDiem T. Nguyen, Dc A Profession Chiropractic CorporationChiropractorChiropractic ProvidersPractice Address7811 Laguna Blvd Ste 180, Elk Grove, CA 95758-7949(916) 478-2634PECOS EnrollmentBased on the most recent information from CMS, provider Diem T. Nguyen, Dc A Profession Chiropractic Corporation does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 10:51 AM.Profile DetailsProvider ID1366560658Provider TypeOrganizationFull NameDiem T. Nguyen, Dc A Profession Chiropractic CorporationSubpartNoEnumeration Date3/26/2007Last Updated8/22/2020Contact InformationPractice LocationPractice Address7811 Laguna Blvd Ste 180, Elk Grove, CA 95758-7949Phone(916) 478-2634Fax(916) 478-2563Mailing LocationMailing Address7811 Laguna Blvd Ste 180, Elk Grove, CA 95758-7949Phone(916) 478-2634Fax(916) 478-2563Authorized OfficialNameNguyen, Diem T (Owner)Phone(916) 478-2634Provider TaxonomiesCodeDescriptionLicenseCode111N00000XPrimaryDescriptionChiropractorChiropractic ProvidersLicenseDC0277100CaliforniaProvider IdentifiersIDDescriptionIssuerIDDC0277100DescriptionMedicaidIssuerUnlistedCalifornia