Individual
DR. JASMINE PHUONG NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
4029 43RD STREET, SUITE 300, SAN DIEGO, CA 92105-8537
(619) 284-3937
(619) 284-3938
Mailing address
4029 43RD STREET, SUITE 300, SAN DIEGO, CA 92105-8537
(619) 284-3937
(619) 284-3938
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
11189 TPA
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0111890
—
CA
Enumeration date
02/09/2007
Last updated
02/27/2017
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