MEDICARE: DR. LEINAH 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
1	152W00000X	Optometrist	15132	CA

General Provider Information

NPI Number	:	1962805168
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LEINAH NGUYEN O.D.

Provider Business Mailing Address
First Line	:	6731 WESTMINSTER BLVD
Second Line	:	STE 102
City	:	WESTMINSTER
State	:	CA
Zip	:	92683-3792
Country	:	US
Telephone Number	:	714-620-1512
Fax Number	:	714-741-3904

Provider Business Practice Location Address
First Line	:	13079 HARBOR BLVD
Second Line	:
City	:	GARDEN GROVE
State	:	CA
Zip	:	92843-1739
Country	:	US
Telephone Number	:	714-620-1512
Fax Number	:	714-741-3904

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/01/2014
Last Update Date	:	07/21/2022

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