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NPI Code Detail

MEDICARE: NATHAN HOANG NGUYEN PHARMD

MEDICARE: NATHAN HOANG NGUYEN PHARMD
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
1183500000XPharmacist85688CA

General Provider Information

NPI Number : 1447902630
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATHAN HOANG NGUYEN PHARMD
Provider Business Mailing Address
First Line : 10 CARLTON
Second Line :
City : IRVINE
State : CA
Zip : 92620-2714
Country : US
Telephone Number : 949-394-5117
Fax Number :
Provider Business Practice Location Address
First Line : 24081 EL TORO RD
Second Line :
City : LAGUNA HILLS
State : CA
Zip : 92653-3103
Country : US
Telephone Number : 949-206-9632
Fax Number : 949-206-1339
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/19/2022
Last Update Date : 01/19/2022

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