Individual
MISS LILY NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, L.AC.
Contact information
Practice address
1245 16TH ST, SUITE 225, SANTA MONICA, CA 90404-1235
(310) 794-1841
(310) 319-2263
Mailing address
1245 16TH ST, SUITE 225, SANTA MONICA, CA 90404-1235
(310) 794-1841
(310) 319-2263
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
AC12037
CA
363AM0700X
Medical Physician Assistant
Primary
PA21775
CA
Other
Enumeration date
10/26/2007
Last updated
07/16/2015
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