Healthcare Provider Details

I. General information

NPI: 1972411429
Provider Name (Legal Business Name): VI H NGUYEN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/27/2026
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7201 FLORIN MALL DR
SACRAMENTO CA
95823-2701
US

IV. Provider business mailing address

9082 CHANTAL WAY
SACRAMENTO CA
95829-1711
US

V. Phone/Fax

Practice location:
  • Phone: 669-204-3129
  • Fax:
Mailing address:
  • Phone: 669-204-3129
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number86702
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: