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Organization
MONIQUE M NGUYEN, OD, INC
Active
Organization
MONIQUE M NGUYEN, OD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MONIQUE M NGUYEN O.D. (PRESIDENT)
(949) 364-4455
Entity
Organization
Contact information
Practice address
777 CORPORATE DR, STE 200, LADERA RANCH, CA 92694-2135
(949) 364-4455
(949) 364-4419
Mailing address
777 CORPORATE DR, STE 200, LADERA RANCH, CA 92694-2135
(949) 364-4455
(949) 364-4419
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
11931T
CA
152WP0200X
Pediatric Optometrist
11931T
CA
152WS0006X
Sports Vision Optometrist
11931T
CA
152WV0400X
Vision Therapy Optometrist
11931T
CA
Other
Enumeration date
03/07/2008
Last updated
03/07/2008
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