Individual
PETER NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
405 W 5TH ST, SANTA ANA, CA 92701-4599
(714) 834-2217
Mailing address
405 W 5TH ST, SANTA ANA, CA 92701-4599
(714) 834-2217
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
810741
CA
Other
Enumeration date
03/29/2019
Last updated
03/29/2019
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