Individual ProviderVy P NguyenInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address26800 Crown Valley Pkwy, Suite 325, Mission Viejo, CA 92691-6384(949) 364-6000(949) 282-1600PECOS EnrollmentThis provider is enrolled in PECOS as VY NGUYEN.Based on the most recent information from CMS, provider Vy P Nguyen is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1881671154Provider TypeIndividualFull NameNguyen, Vy PTitleDr.CredentialM.D.GenderFemaleSole ProprietorNoEnumeration Date12/28/2005Last Updated11/9/2021Contact InformationPractice LocationPractice Address26800 Crown Valley Pkwy, Suite 325, Mission Viejo, CA 92691-6384Phone(949) 364-6000Fax(949) 364-9561Mailing LocationMailing Address26522 La Alameda, Suite 120, Mission Viejo, CA 92691-6330Phone(949) 282-1600Fax(949) 367-0518Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseA67518CaliforniaProvider IdentifiersIDDescriptionIssuerID00A675180DescriptionMedicaidIssuerUnlistedCalifornia