Individual
MRS. VAN HOANG NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
12555 GARDEN GROVE BLVD, SUITE 206, GARDEN GROVE, CA 92843-1902
(714) 537-6595
(714) 537-2176
Mailing address
16052 WASHBURN ST, FOUNTAIN VALLEY, CA 92708-1732
(714) 658-7757
(213) 413-1954
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA14701
CA
Other
Enumeration date
11/28/2006
Last updated
07/08/2007
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