Healthcare Provider Details

I. General information

NPI: 1346582335
Provider Name (Legal Business Name): VIET THUY NGUYEN M.D., M.P.H.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/18/2013
Last Update Date: 01/04/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

313 N FIGUEROA ST RM 132
LOS ANGELES CA
90012-2602
US

IV. Provider business mailing address

313 N FIGUEROA ST RM 132
LOS ANGELES CA
90012-2602
US

V. Phone/Fax

Practice location:
  • Phone: 323-768-2787
  • Fax: 213-260-2301
Mailing address:
  • Phone: 323-768-2787
  • Fax: 213-260-2301

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License NumberA135532
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberA135532
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: