Individual
CHRISTINE VU NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
18111 BROOKHURST ST STE 6400, FOUNTAIN VALLEY, CA 92708-6728
(714) 963-1444
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A134102
CA
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
A134102
CA
Other
Enumeration date
08/12/2013
Last updated
10/20/2020
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