Healthcare Provider Details

I. General information

NPI: 1952734832
Provider Name (Legal Business Name): NHAN AI MEDICAL GROUP, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/15/2013
Last Update Date: 10/20/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10900 WESTMINSTER AVE SUITE 8
GARDEN GROVE CA
92843-4984
US

IV. Provider business mailing address

10900 WESTMINSTER AVE SUITE 8
GARDEN GROVE CA
92843-4984
US

V. Phone/Fax

Practice location:
  • Phone: 714-386-2404
  • Fax: 714-363-5544
Mailing address:
  • Phone: 714-386-2404
  • Fax: 714-363-5544

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number
License Number State

VIII. Authorized Official

Name: MS. SOPHIE T NGUYEN
Title or Position: OFFICER
Credential: L.AC., PH.D.
Phone: 714-386-2404