Individual
TUONG-VY NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
210 N TUSTIN AVE, SANTA ANA, CA 92705-3807
(888) 959-5192
Mailing address
210 N TUSTIN AVE, SANTA ANA, CA 92705-3807
(888) 959-5192
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
58818
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
10/01/2020
Last updated
08/19/2024
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