Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ETHAN-QUAN H NGUYEN, MD
DeactivatedDR. ETHAN-QUAN H NGUYEN, MD is a Procedural Dermatology healthcare provider located in RIVERSIDE, California. NPI 1104828508 is deactivated in the NPPES registry. Verify at CMS.
Procedural Dermatology · RIVERSIDE, CA
This NPI has been deactivated.
The record was deactivated on May 5, 2006.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1104828508
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 15, 2005 (0.72054794520548 yrs)
- Last Updated
- Aug 1, 2013
- Deactivated
- May 5, 2006
- License
-
G77748 (CA)
Practice Information
- Address
-
4336 MARKET STRIVERSIDE, CA, 925013518Browse CA providers · Browse ZIP 92501
- Phone
- 9516829293
- Primary Specialty
-
Procedural Dermatology
207NS0135X
Other Procedural Dermatology Providers in RIVERSIDE, CA
| Name | Credential | NPI |
|---|---|---|
| JAFAR KOUPAIE | MD | 1508940644 |
| OLIVIA JENKS | LPE | 1427893767 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.