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NPI Code Detail

MEDICARE: ANDREA DOAN TRANG NGUYEN

MEDICARE: ANDREA DOAN TRANG 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 Technician

General Provider Information

NPI Number : 1346056033
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREA DOAN TRANG NGUYEN
Provider Business Mailing Address
First Line : 23901 CALABASAS RD STE 1069
Second Line :
City : CALABASAS
State : CA
Zip : 91302-1583
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 23901 CALABASAS RD STE 1069
Second Line :
City : CALABASAS
State : CA
Zip : 91302-1583
Country : US
Telephone Number : 916-579-4736
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/06/2024
Last Update Date : 12/17/2024

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Directions to “ ANDREA DOAN TRANG NGUYEN ” Practice Location

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