Individual
AMY NGOC NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2720 N HARBOR BLVD STE 205, FULLERTON, CA 92835-2609
(714) 882-5525
(714) 882-5078
Mailing address
8970 WARNER AVE, FOUNTAIN VALLEY, CA 92708
(714) 848-7757
(714) 848-7760
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A80879
CA
207Q00000X
Family Medicine Physician
A80879
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0094190
—
CA
Enumeration date
07/28/2006
Last updated
06/04/2019
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