Healthcare Provider Details

I. General information

NPI: 1295900082
Provider Name (Legal Business Name): NHUNG HONG NGUYEN M.S.W
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/23/2008
Last Update Date: 05/23/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4000 W METROPOLITAN DR STE 120
ORANGE CA
92868-3504
US

IV. Provider business mailing address

PO BOX 355
SANTA ANA CA
92702-0355
US

V. Phone/Fax

Practice location:
  • Phone: 714-972-3700
  • Fax: 714-972-3744
Mailing address:
  • Phone: 714-972-3700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberASW61071
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: