Healthcare Provider Details

I. General information

NPI: 1215844303
Provider Name (Legal Business Name): JANET NGUYEN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12291 DONALD REED LN
GARDEN GROVE CA
92840-3255
US

IV. Provider business mailing address

12291 DONALD REED LN
GARDEN GROVE CA
92840-3255
US

V. Phone/Fax

Practice location:
  • Phone: 714-853-9377
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN686227
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: