Healthcare Provider Details

I. General information

NPI: 1386762508
Provider Name (Legal Business Name): HELEN CHI NGUYEN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/26/2007
Last Update Date: 11/29/2021
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10850 ARROW RTE
RANCHO CUCAMONGA CA
91730-4833
US

IV. Provider business mailing address

10850 ARROW RTE
RANCHO CUCAMONGA CA
91730-4833
US

V. Phone/Fax

Practice location:
  • Phone: 888-750-0036
  • Fax:
Mailing address:
  • Phone: 888-750-0036
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberC54091
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: