Individual
THAO P NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M D
Contact information
Practice address
2406 ULRIC ST, SAN DIEGO, CA 92111-6040
(858) 278-9393
(858) 278-5393
Mailing address
2406 ULRIC ST, SAN DIEGO, CA 92111-6040
(858) 278-9393
(858) 278-5393
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G81689
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G816890
—
CA
Enumeration date
07/06/2006
Last updated
05/10/2024
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