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Thien Minh Nguyen

Emergency Medicine

Allopathic & Osteopathic Physicians

4445 Magnolia Ave, Riverside, CA 92501-4199

PECOS Enrollment

This provider is enrolled in PECOS as THIEN NGUYEN.

Based on the most recent information from CMS, provider Thien Minh 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 2 days ago.

Profile Details

Provider ID
1992383152
Provider Type
Individual
Full Name
Nguyen, Thien Minh
Title
Dr.
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
3/30/2021
Last Updated
7/23/2024

Contact Information

Practice Location

4445 Magnolia Ave, Riverside, CA 92501-4199

(951) 809-2738

Unlisted Fax

Mailing Location

4510 Brockton Ave, Riverside, CA 92501-4015

(951) 809-2738

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207P00000X Primary	Description Emergency Medicine Allopathic & Osteopathic Physicians	License A192561 California
Code 390200000X	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer

Thien Minh Nguyen

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Hadyah, Sana

Ng, Daniel

Brenchley, Ryan L.

Glavinic, Julia Cheree

Bommannan, Rishi

Woodhouse, Ernest

Fargusson, Joseph

Osborne, John Ellsworth

Hu, Jeffrey

Ghassemzadeh, Sassan