Healthcare Provider Details

I. General information

NPI: 1275930067
Provider Name (Legal Business Name): SYLVIA NGUYEN PHARMD.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/23/2014
Last Update Date: 11/23/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1050 GILMAN ST
BERKELEY CA
94710-1532
US

IV. Provider business mailing address

3926 W 184TH ST
TORRANCE CA
90504-4810
US

V. Phone/Fax

Practice location:
  • Phone: 510-528-8274
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number71546
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: