Healthcare Provider Details

I. General information

NPI: 1922939230
Provider Name (Legal Business Name): VIVIENNE HAO NGUYEN M.A., CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/26/2026
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3777 LONG BEACH BLVD STE 400
LONG BEACH CA
90807-3341
US

IV. Provider business mailing address

18697 CEDAR CIR
FOUNTAIN VALLEY CA
92708-7219
US

V. Phone/Fax

Practice location:
  • Phone: 562-317-5030
  • Fax:
Mailing address:
  • Phone: 714-837-0934
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: