Individual
GIA NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12865 MAIN ST STE 105, GARDEN GROVE, CA 92840-8205
(800) 560-9999
Mailing address
9904 11TH ST, GARDEN GROVE, CA 92844-3148
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA64149
CA
Other
Enumeration date
08/07/2023
Last updated
03/01/2024
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