Individual
DR. ANN VI NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2655 EL CAMINO REAL, TUSTIN, CA 92782-8918
(562) 621-0656
(562) 621-9020
Mailing address
2655 EL CAMINO REAL, TUSTIN, CA 92782-8918
(714) 592-3222
(562) 621-9020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
12227
CA
152W00000X
Optometrist
Primary
12227T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0122270
—
CA
Enumeration date
02/28/2007
Last updated
04/05/2016
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