Healthcare Provider Details

I. General information

NPI: 1396665972
Provider Name (Legal Business Name): TIFFANY NGUYEN PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/15/2026
Last Update Date: 07/15/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 DUARTE RD
DUARTE CA
91010-3012
US

IV. Provider business mailing address

534 E HOOVER AVE
ORANGE CA
92867-4923
US

V. Phone/Fax

Practice location:
  • Phone: 626-275-8069
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1835X0200X
TaxonomyOncology Pharmacist
License Number88212
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code1835P1400X
TaxonomyPain Management Pharmacist
License Number88212
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: