Organization
DIANA NGUYEN OPTOMETRY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA NGUYEN O. D (PRESIDENT)
(714) 200-4261
Entity
Organization
Contact information
Practice address
903 S BRISTOL ST STE A, SANTA ANA, CA 92703-4983
(714) 564-9696
(714) 784-7891
Mailing address
903 S BRISTOL ST STE A, SANTA ANA, CA 92703-4983
(714) 564-9696
(714) 784-7891
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT 12457 TPL
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FP987A
MEDICARE PTAN
CA
Enumeration date
06/25/2009
Last updated
03/19/2012
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