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Truong Dan Nguyen

General Practice

Allopathic & Osteopathic Physicians

Naval Medical Center San Diego, 34800 Bob Wilson Drive, San Diego, CA 92134

PECOS Enrollment

This provider is enrolled in PECOS as TRUONG NGUYEN.

Based on the most recent information from CMS, provider Truong Dan 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 3 days ago.

Profile Details

Provider ID
1639215080
Provider Type
Individual
Full Name
Nguyen, Truong Dan
Title
Dr.
Credential
D.O.

Gender
Male
Sole Proprietor
Yes
Enumeration Date
1/30/2007
Last Updated
11/29/2021

Contact Information

Practice Location

Naval Medical Center San Diego, 34800 Bob Wilson Drive, San Diego, CA 92134

(619) 532-6636

Unlisted Fax

Mailing Location

672 Coastal Hills Dr, Chula Vista, CA 91914-4318

(619) 271-9373

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 208D00000X Primary	Description General Practice Allopathic & Osteopathic Physicians	License 0102201649 Virginia

Truong Dan Nguyen

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Perez-Cintron, Alfredo T

Drummond, Brian S

Connolly, Kyleigh

Kaylor, Ryan Michael

Callahan, Amy Nicole

Kaplan, Lisa

Winkie, Mitchell

Ely, Isabelle

Santanello, Katie

Moy, Jeffrey