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NPI Code Detail

MEDICARE: NATALIE NGA NGUYEN O.D

MEDICARE:   NATALIE NGA NGUYEN  O.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
1152W00000XOptometrist11375TCA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1790813871
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATALIE NGA NGUYEN O.D
Provider Business Mailing Address
First Line : 19249 REDFORD LN
Second Line :
City : HUNTINGTON BEACH
State : CA
Zip : 92648-2135
Country : US
Telephone Number : 714-330-4283
Fax Number :
Provider Business Practice Location Address
First Line : 3600 W MCFADDEN AVE
Second Line :
City : SANTA ANA
State : CA
Zip : 92704-1330
Country : US
Telephone Number : 714-531-3068
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/01/2007
Last Update Date : 07/08/2007

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Directions to “ NATALIE NGA NGUYEN O.D” Practice Location

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