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NPI Code Detail

MEDICARE: CATHERINE ANH NGUYEN MSW, LCSW

MEDICARE: CATHERINE ANH NGUYEN MSW, LCSW
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
11041C0700XClinical Social WorkerLCS26521CA

General Provider Information

NPI Number : 1568633055
Entity Type Code : Individual
Provider Name (Legal Business Name) : CATHERINE ANH NGUYEN MSW, LCSW
Provider Business Mailing Address
First Line : PO BOX 9616
Second Line :
City : ANAHEIM
State : CA
Zip : 92812-7616
Country : US
Telephone Number : 562-986-2486
Fax Number :
Provider Business Practice Location Address
First Line : 3900 E PACIFIC COAST HWY
Second Line :
City : LONG BEACH
State : CA
Zip : 90804-2013
Country : US
Telephone Number : 562-986-2486
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/12/2008
Last Update Date : 07/29/2016

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