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NPI Code Detail

MEDICARE: BILL LOC NGUYEN

MEDICARE: BILL LOC 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
1183500000XPharmacist66675CA

General Provider Information

NPI Number : 1427305457
Entity Type Code : Individual
Provider Name (Legal Business Name) : BILL LOC NGUYEN
Provider Business Mailing Address
First Line : 16405 MAHOGANY ST
Second Line :
City : FOUNTAIN VALLEY
State : CA
Zip : 92708-1927
Country : US
Telephone Number : 714-414-9475
Fax Number :
Provider Business Practice Location Address
First Line : 9550 HAGEMAN RD
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93312-3956
Country : US
Telephone Number : 661-587-0838
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2012
Last Update Date : 11/02/2012

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Directions to “ BILL LOC NGUYEN ” Practice Location

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