Individual ProviderVi T. NguyenPediatricsAllopathic & Osteopathic PhysiciansPractice Address7910 Frost St., Suite 400, San Diego, CA 92123-2753(858) 495-0500(858) 636-4300PECOS EnrollmentBased on the most recent information from CMS, provider Vi T. Nguyen does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 2:29 PM.Profile DetailsProvider ID1053540534Provider TypeIndividualFull NameNguyen, Vi T.TitleDr.CredentialM.D.GenderFemaleSole ProprietorNoEnumeration Date7/6/2009Last Updated2/24/2017Contact InformationPractice LocationPractice Address7910 Frost St., Suite 400, San Diego, CA 92123-2753Phone(858) 495-0500Fax(858) 560-4279Mailing LocationMailing Address3880 Murphy Canyon Rd., Suite 200, San Diego, CA 92123-4411Phone(858) 636-4300Fax(858) 636-4319Provider TaxonomiesCodeDescriptionLicenseCode208000000XPrimaryDescriptionPediatricsAllopathic & Osteopathic PhysiciansLicenseR71715Arizona