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NPI Code Detail

MEDICARE: BRYAN NGUYEN PHARM.D.

MEDICARE: BRYAN NGUYEN PHARM.D.
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
1183500000XPharmacist58913CA

General Provider Information

NPI Number : 1396013710
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRYAN NGUYEN PHARM.D.
Provider Business Mailing Address
First Line : 30602 SANTA MARGARITA PKWY
Second Line :
City : RANCHO SANTA MARGARITA
State : CA
Zip : 92688-2814
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 30602 SANTA MARGARITA PKWY
Second Line :
City : RANCHO SANTA MARGARITA
State : CA
Zip : 92688-2814
Country : US
Telephone Number : 949-459-0973
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/13/2011
Last Update Date : 12/13/2011

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