Dat William Nguyen Md Inc - Medicare Primary Care in La Jolla, CA

Dat William Nguyen Md Inc is a medicare enrolled primary clinic (Family Medicine) in La Jolla, California. The current practice location for Dat William Nguyen Md Inc is 6501 La Jolla Blvd, La Jolla, California. For appointments, you can reach them via phone at (619) 300-2340. The mailing address for Dat William Nguyen Md Inc is Po Box 8005, Rancho Santa Fe, California and phone number is (619) 300-2340.

Dat William Nguyen Md Inc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1114671799. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (619) 300-2340.

Contact Information

Dat William Nguyen Md Inc
6501 La Jolla Blvd
La Jolla
CA 92037-6016
(619) 300-2340
Not Available

Primary Care Clinic Profile

Full NameDat William Nguyen Md Inc
SpecialityFamily Medicine
Location6501 La Jolla Blvd, La Jolla, California
Authorized Official Name and PositionDat William Nguyen (CEO/ MD)
Authorized Official Contact6193002340
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dat William Nguyen Md Inc
Po Box 8005
Rancho Santa Fe
CA 92067-8005

Ph: (619) 300-2340
Dat William Nguyen Md Inc
6501 La Jolla Blvd
La Jolla
CA 92037-6016

Ph: (619) 300-2340

NPI Details:

NPI Number1114671799
Provider Enumeration Date02/11/2022
Last Update Date08/02/2023

Medicare PECOS Information:

Medicare PECOS PAC ID4486048436
Medicare Enrollment IDO20220308001905

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Medical Identifiers

Medical identifiers for Dat William Nguyen Md Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114671799NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Dat William Nguyen Md Inc acts as a billing entity for following providers:
Provider NameDat W Nguyen
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1386626448
PECOS PAC ID: 8224018700
Enrollment ID: I20040723001097

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