OrganizationDiem T. Nguyen, Dc A Profession Chiropractic CorporationChiropractorChiropractic ProvidersPractice Address7811 Laguna Blvd Ste 180, Elk Grove, CA 95758-7949(916) 478-2634PECOS EnrollmentBased on the most recent information from CMS, provider Diem T. Nguyen, Dc A Profession Chiropractic Corporation 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 2 days ago.Profile DetailsProvider ID1366560658Provider TypeOrganizationFull NameDiem T. Nguyen, Dc A Profession Chiropractic CorporationSubpartNoEnumeration Date3/26/2007Last Updated8/22/2020Contact InformationPractice LocationPractice Address7811 Laguna Blvd Ste 180, Elk Grove, CA 95758-7949Phone(916) 478-2634Fax(916) 478-2563Mailing LocationMailing Address7811 Laguna Blvd Ste 180, Elk Grove, CA 95758-7949Phone(916) 478-2634Fax(916) 478-2563Authorized OfficialNameNguyen, Diem T (Owner)Phone(916) 478-2634Provider TaxonomiesCodeDescriptionLicenseCode111N00000XPrimaryDescriptionChiropractorChiropractic ProvidersLicenseDC0277100CaliforniaProvider IdentifiersIDDescriptionIssuerIDDC0277100DescriptionMedicaidIssuerUnlistedCalifornia