Individual
DR. CHAU BAO NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
125 MOUNTAIN VIEW DRIVE, TUSTIN, CA 92780
(714) 573-9788
(714) 573-9788
Mailing address
125 MOUNTAIN VIEW DRIVE, TUSTIN, CA 92780
(714) 573-9788
(714) 573-9788
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC5557
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AC5557
LICENSE #
CA
Enumeration date
11/08/2006
Last updated
07/08/2007
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