Individual
THIEN T HONG DIEP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
13222 BLOOMFIELD AVE, NORWALK, CA 90650-3249
(562) 207-0745
Mailing address
4823 WALNUT AVE, LONG BEACH, CA 90807-1236
(408) 896-1606
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
95078837
CA
163WM0705X
Medical-Surgical Registered Nurse
95078837
CA
Other
Enumeration date
08/29/2017
Last updated
03/17/2018
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