# MS. DAN THANH NGUYEN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1831369230
- **Gender:** F
- **Credential:** PA

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | PA20064 | CA | Yes |

## Other

- **Enumeration date:** 03/03/2008
- **Last updated:** 01/03/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | MA053212 | MEDICAL LICENSE | PA |
| 01 | — | PA20064 | CALIFORNIA LICENSE | CA |