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Individual
DR. NINA HONG QUYEN LA
Active
Individual
DR. NINA HONG QUYEN LA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C., L.AC.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
31581
CA
171100000X
Acupuncturist
13214
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DY495A
MEDICARE PTAN
CA
Enumeration date
09/01/2010
Last updated
10/30/2012
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