Individual
ELIZABETH NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1520 NUTMEG PL STE 101, COSTA MESA, CA 92626-2557
(714) 922-4100
Mailing address
11160 WARNER AVE, FOUNTAIN VALLEY, CA 92708-4008
(714) 424-9300
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
56607
CA
Other
Enumeration date
03/10/2019
Last updated
07/01/2024
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