Healthcare Provider Details

I. General information

NPI: 1063539864
Provider Name (Legal Business Name): HONORA V NGUYEN PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/25/2007
Last Update Date: 05/19/2023
Certification Date: 05/19/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12491 VALLEY VIEW ST
GARDEN GROVE CA
92845-2032
US

IV. Provider business mailing address

9161 SHERIDAN DR
HUNTINGTON BEACH CA
92646-3460
US

V. Phone/Fax

Practice location:
  • Phone: 714-894-9230
  • Fax: 714-891-5485
Mailing address:
  • Phone: 714-335-9102
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number50992
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: