Healthcare Provider Details

I. General information

NPI: 1831022649
Provider Name (Legal Business Name): STEVEN NGUYEN PHARM D
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/03/2026
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

84 LEGACY WAY
IRVINE CA
92602-0717
US

IV. Provider business mailing address

84 LEGACY WAY
IRVINE CA
92602-0717
US

V. Phone/Fax

Practice location:
  • Phone: 949-413-0817
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number92369
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: