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NPI Code Detail

MEDICARE: LINAH NGUYEN

MEDICARE: LINAH 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
1183500000XPharmacist63083CA

General Provider Information

NPI Number : 1396203568
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINAH NGUYEN
Provider Business Mailing Address
First Line : 4400 E LOS COYOTES DIAGONAL
Second Line :
City : LONG BEACH
State : CA
Zip : 90815-2819
Country : US
Telephone Number : 562-494-4282
Fax Number :
Provider Business Practice Location Address
First Line : 4400 E LOS COYOTES DIAGONAL
Second Line :
City : LONG BEACH
State : CA
Zip : 90815-2819
Country : US
Telephone Number : 562-494-4282
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/06/2019
Last Update Date : 03/06/2019

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