Individual
BRIAN VAN NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
220 E GRAND AVE, EL SEGUNDO, CA 90245-3827
(310) 640-2715
Mailing address
3714 W 11TH ST, SANTA ANA, CA 92703-1711
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
76134
CA
Other
Enumeration date
11/29/2017
Last updated
11/29/2017
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