Individual
QUOC VIET NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7614 LEMON AVE, LEMON GROVE, CA 91945-1619
(619) 303-6705
Mailing address
4375 BENHURST AVE, SAN DIEGO, CA 92122-3013
(858) 776-0517
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
1065-4627-5586
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1065-4627-5586
NATIONAL REGISTRY OF EMERGENCY MEDICAL TECHNICIAN
CA
Enumeration date
12/09/2021
Last updated
12/09/2021
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