Individual
ELAINE NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
26520 CACTUS AVE, MORENO VALLEY, CA 92555
(951) 486-4000
Mailing address
26520 CACTUS AVE, MORENO VALLEY, CA 92555
(951) 486-4000
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
A146998
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
CA
Other
Enumeration date
05/25/2016
Last updated
03/31/2023
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