Individual
ANDREW MINHTAM NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
11080 W OLYMPIC BLVD, LOS ANGELES, CA 90064-1937
(310) 966-6500
Mailing address
11080 W OLYMPIC BLVD, LOS ANGELES, CA 90064-1937
(310) 966-6500
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
74986
CA
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
74986
CA
1835P1300X
Psychiatric Pharmacist
74986
CA
1835P2201X
Ambulatory Care Pharmacist
74986
CA
Other
Enumeration date
09/12/2016
Last updated
12/13/2021
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