Individual
VIVIAN THANH NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
200 S WELLS RD, VENTURA, CA 93004-1377
(805) 659-1740
Mailing address
200 S WELLS RD, VENTURA, CA 93004-1377
(805) 659-1740
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA23248
CA
363AS0400X
Surgical Physician Assistant
PA23248
CA
Other
Enumeration date
09/23/2013
Last updated
07/17/2023
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