Healthcare Provider Details

I. General information

NPI: 1598380941
Provider Name (Legal Business Name): VICTORIA DUONG NGUYEN PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/11/2020
Last Update Date: 06/11/2020
Certification Date: 06/11/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9090 WILSHIRE BLVD STE 200
BEVERLY HILLS CA
90211-1850
US

IV. Provider business mailing address

8700 BEVERLY BLVD SOUTH TOWER, LOWER LEVEL, STE A903
LOS ANGELES CA
90048-1056
US

V. Phone/Fax

Practice location:
  • Phone: 310-967-7602
  • Fax:
Mailing address:
  • Phone: 310-423-0633
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835X0200X
TaxonomyOncology Pharmacist
License Number78688
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: