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Individual
KHA D NGUYEN
Active
Individual
KHA D NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT296670
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1407413511
—
CA
01
—
CB348646
MEDICARE
CA
01
—
PT296670
PT LICENSE
CA
Enumeration date
05/23/2019
Last updated
01/13/2021
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