Healthcare Provider Details

I. General information

NPI: 1205273059
Provider Name (Legal Business Name): ANNIE THU HANG NGUYEN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/03/2013
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2351 STOCKTON BLVD.
SACRAMENTO CA
95817
US

IV. Provider business mailing address

2351 STOCKTON BLVD.
SACRAMENTO CA
95817
US

V. Phone/Fax

Practice location:
  • Phone: 916-734-3565
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QS1201X
TaxonomySleep Medicine (Family Medicine) Physician
License Number149070
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: