Individual
TERRY NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
1414 S GRAND AVE, #456, LOS ANGELES, CA 90015-3067
(213) 745-6047
Mailing address
1414 S GRAND AVE, #456, LOS ANGELES, CA 90015-3067
(213) 745-6047
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA22647
CA
Other
Enumeration date
10/16/2012
Last updated
10/16/2012
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