Individual
DR. HAN NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1800 CAVITT DR, FOLSOM, CA 95630-6235
(916) 983-1148
(916) 983-1192
Mailing address
9629 RIDGEROCK DR, ELK GROVE, CA 95624-4461
(916) 743-8362
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
33366-TLG
CA
152W00000X
Optometrist
Primary
33366TLG
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33366TLG
CA STATE BOARD OF OPTOMETRY
CA
Enumeration date
07/23/2014
Last updated
02/09/2022
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