Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TAN KHAC NGUYEN, M.D.
ActiveProcedural Dermatology · UPLAND, CA
Registration Details
- NPI Number
- 1144273491
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 18, 2006 (19.929590571254 yrs)
- Last Updated
- Aug 8, 2011
- Licenses
-
A70331 (CA)A70331 (CA)
Practice Information
- Address
-
1310 SAN BERNARDINO RDSUITE 207UPLAND, CA, 917864979Browse CA providers · Browse ZIP 91786
- Phone
- 9099468600
- Fax
- 9099468604
- Primary Specialty
-
Procedural Dermatology
207NS0135X
- Additional Specialty
- Dermatology
Other Procedural Dermatology Providers in UPLAND, CA
| Name | Credential | NPI |
|---|---|---|
| CHARLES M. TRAN | D.O. | 1922051739 |
| DR. GLORIA JANE STEVENS | M.D. | 1699836288 |
| DR. RONALD DEMETRI LISKANICH | D.O. | 1245391820 |
| ANDREA PAOLA PASSALACQUA | DO | 1134380330 |
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.