Healthcare Provider Details

I. General information

NPI: 1538278288
Provider Name (Legal Business Name): TRINI TRANG NGUYEN NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/29/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9191 WESTMINSTER AVE
GARDEN GROVE CA
92844-2751
US

IV. Provider business mailing address

3512 GILBERT DR
HUNTINGTON BEACH CA
92649-2825
US

V. Phone/Fax

Practice location:
  • Phone: 714-899-2000
  • Fax: 714-899-0051
Mailing address:
  • Phone: 714-392-4819
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License NumberRN550079- NP13402
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: