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NPI Code Detail

MEDICARE: YEN HOANG NGUYEN PHARM. D

MEDICARE: YEN HOANG 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
1183500000XPharmacist19699NV
2183500000XPharmacistRPH62619CA

General Provider Information

NPI Number : 1588099626
Entity Type Code : Individual
Provider Name (Legal Business Name) : YEN HOANG NGUYEN PHARM. D
Provider Business Mailing Address
First Line : 13905 CAMP ROCK ST
Second Line :
City : CORONA
State : CA
Zip : 92880-3169
Country : US
Telephone Number : 215-776-1356
Fax Number :
Provider Business Practice Location Address
First Line : 6555 N DECATUR BLVD # 737B
Second Line :
City : LAS VEGAS
State : NV
Zip : 89131-2796
Country : US
Telephone Number : 702-415-2300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/09/2013
Last Update Date : 03/05/2026

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