Individual
KEVIN KIM NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
8733 BEVERLY BLVD STE 201, WEST HOLLYWOOD, CA 90048-1844
(858) 357-3465
Mailing address
6204 MAYFIELD AVE STE 2, LA CRESCENTA, CA 91214-2371
(858) 357-3465
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95027344
CA
Other
Enumeration date
09/25/2023
Last updated
09/25/2023
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