Individual
ANNIE THUY AN NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
18321 CLARK ST, TARZANA, CA 91356-3501
(818) 708-5242
Mailing address
18321 CLARK ST, TARZANA, CA 91356-3501
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
A104814
CA
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
A104814
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/26/2007
Last updated
07/18/2013
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