Individual
MR. BRIAN PHAN NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
4063 GLENALBYN DR, LOS ANGELES, CA 90065-3114
(310) 383-3183
Mailing address
4063 GLENALBYN DR, LOS ANGELES, CA 90065-3114
(310) 383-3183
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95001095
CA
Other
Enumeration date
08/08/2014
Last updated
08/08/2014
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