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NPI Code Detail

MEDICARE: THANH TRUC MINH NGUYEN

MEDICARE: THANH TRUC MINH 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
1106S00000XBehavior TechnicianCA

General Provider Information

NPI Number : 1215862602
Entity Type Code : Individual
Provider Name (Legal Business Name) : THANH TRUC MINH NGUYEN
Provider Business Mailing Address
First Line : 7755 CENTER AVE STE 1100
Second Line :
City : HUNTINGTON BEACH
State : CA
Zip : 92647-3091
Country : US
Telephone Number : 714-251-4183
Fax Number :
Provider Business Practice Location Address
First Line : 7755 CENTER AVE STE 1100
Second Line :
City : HUNTINGTON BEACH
State : CA
Zip : 92647-3091
Country : US
Telephone Number : 714-251-4183
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2026
Last Update Date : 06/16/2026

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Directions to “ THANH TRUC MINH NGUYEN ” Practice Location

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