Individual
DR. HENRY NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
23080 ALESSANDRO BLVD, SUITE# 206, MORENO VALLEY, CA 92553-9673
(951) 656-3693
(951) 656-3825
Mailing address
23080 ALESSANDRO BLVD STE 206, MORENO VALLEY, CA 92553-9674
(951) 656-3693
(951) 656-3825
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
11717T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0117171
—
CA
Enumeration date
07/25/2006
Last updated
07/08/2007
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