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NPI Code Detail

MEDICARE: VIVIAN TRAN NGUYEN

MEDICARE: VIVIAN TRAN NGUYEN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist26414CA

General Provider Information

NPI Number : 1154824506
Entity Type Code : Individual
Provider Name (Legal Business Name) : VIVIAN TRAN NGUYEN
Provider Business Mailing Address
First Line : 2151 CLINTON AVE
Second Line :
City : ALAMEDA
State : CA
Zip : 94501-4906
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2200 TUOLUMNE ST
Second Line :
City : VALLEJO
State : CA
Zip : 94589-2523
Country : US
Telephone Number : 714-889-0760
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/12/2018
Last Update Date : 03/12/2018

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Directions to “ VIVIAN TRAN NGUYEN ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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