NPI 1104828508

Ethan-Quan H Nguyen, MD

Practitioner Procedural Dermatology Physician Riverside, CA

Practice location

Address: 4336 Market St, Riverside, CA 92501-3518
Phone: (951) 682-9293

Registered specialties

Procedural Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207NS0135X Licence G77748 (CA)

Other Dermatology providers in California →

Registry record

NPI: 1104828508
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Aug 2005
Record last updated: 1 Aug 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.