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NPI Code Detail

MEDICARE: CUONG NGUYEN

MEDICARE: CUONG 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
1183500000XPharmacist68567CA

General Provider Information

NPI Number : 1780960179
Entity Type Code : Individual
Provider Name (Legal Business Name) : CUONG NGUYEN
Provider Business Mailing Address
First Line : 5224 COLDWATER CANYON AVE
Second Line :
City : VAN NUYS
State : CA
Zip : 91401-6146
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5224 COLDWATER CANYON AVE
Second Line :
City : VAN NUYS
State : CA
Zip : 91401-6146
Country : US
Telephone Number : 818-487-2715
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/29/2011
Last Update Date : 02/23/2014

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Directions to “ CUONG NGUYEN ” Practice Location

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