# VAN NGUYEN LLC PAC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235091679
- **Authorized official:** VAN NGUYEN PA-C (OWNER)
- **Authorized official phone:** (714) 360-9165

## Contact information

- **Practice address:** 10327 DALLINGTON ST, LAS VEGAS, NV 89141-9032
- **Practice address phone:** (714) 360-9165
- **Mailing address:** 10327 DALLINGTON ST, LAS VEGAS, NV 89141-9032

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | — | NULL | Yes |
| 363A00000X | Physician Assistant | — | — | Yes |

## Other

- **Enumeration date:** 11/24/2025
- **Last updated:** 12/15/2025