Healthcare Provider Details

I. General information

NPI: 1376425454
Provider Name (Legal Business Name): APRIL H NGUYEN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/22/2025
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5360 MARENGO AVE APT 43
LA MESA CA
91942-5105
US

IV. Provider business mailing address

5360 MARENGO AVE APT 43
LA MESA CA
91942-5105
US

V. Phone/Fax

Practice location:
  • Phone: 858-717-4014
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License NumberD5945002
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: