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NPI Code Detail

MEDICARE: EMILY NGUYEN

MEDICARE: EMILY 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
11041C0700XClinical Social Worker137205CA
2106S00000XBehavior Technician

General Provider Information

NPI Number : 1811585813
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY NGUYEN
Provider Business Mailing Address
First Line : 1500 S HAVEN AVE STE 250
Second Line :
City : ONTARIO
State : CA
Zip : 91761-2973
Country : US
Telephone Number : 909-749-5204
Fax Number :
Provider Business Practice Location Address
First Line : 611 S KINGSLEY DR
Second Line :
City : LOS ANGELES
State : CA
Zip : 90005-2319
Country : US
Telephone Number : 213-201-1600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/05/2021
Last Update Date : 03/03/2026

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Directions to “ EMILY NGUYEN ” Practice Location

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