Individual
ANDREA NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
17305 VON KARMAN AVE, SUITE 107, IRVINE, CA 92614-0963
(949) 679-9994
Mailing address
17305 VON KARMAN AVE STE 107, IRVINE, CA 92614-0903
(949) 679-9994
(949) 679-9933
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
21886
CA
Other
Enumeration date
10/03/2011
Last updated
08/15/2022
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