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NPI Code Detail

MEDICARE: CVK NGUYEN INC

MEDICARE: CVK NGUYEN INC
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
1333600000XPharmacy
23336C0003XCommunity/Retail Pharmacy

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1PHY58847OTHERCABOARD OF PHARMACY

General Provider Information

NPI Number : 1760471536
Entity Type Code : Organization
Provider Name (Legal Business Name) : CVK NGUYEN INC
Provider Business Mailing Address
First Line : 2619 W EDINGER AVE STE D2
Second Line :
City : SANTA ANA
State : CA
Zip : 92704-3501
Country : US
Telephone Number : 714-557-5140
Fax Number : 714-557-0537
Provider Business Practice Location Address
First Line : 2619 W EDINGER AVE STE D2
Second Line :
City : SANTA ANA
State : CA
Zip : 92704-3501
Country : US
Telephone Number : 714-557-5140
Fax Number : 714-557-0537
Authorized Official
Title or Position : PRESIDENT/CEO
Name : CHRISTOPHER VIET KHOI NGUYEN
Credential :
Telephone Number : 714-557-5140
Provider Enumeration Date : 10/14/2005
Last Update Date : 11/10/2022

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Directions to “CVK NGUYEN INC ” Practice Location

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