Individual
DR. CONNIE KHANH NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
15355 BROOKHURST ST, SUITE 102, WESTMINSTER, CA 92683-7077
(714) 775-3057
(714) 531-1164
Mailing address
15355 BROOKHURST ST STE 102, SUITE 102, WESTMINSTER, CA 92683-7071
(714) 775-3057
(714) 531-1164
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
000000A61492
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A614920
—
CA
Enumeration date
10/16/2006
Last updated
12/21/2011
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