Individual
TIMOTHY TRONG KHOI NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
620 SHADOW LN, LAS VEGAS, NV 89106-4194
(949) 910-2452
Mailing address
72 ARCHIPELAGO DR, NEWPORT COAST, CA 92657-2106
(949) 910-2452
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/03/2023
Last updated
06/09/2025
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