Healthcare Provider Details

I. General information

NPI: 1134298144
Provider Name (Legal Business Name): NATALIE THI NGUYEN MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/06/2006
Last Update Date: 02/06/2025
Certification Date: 02/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1725 W 17TH ST
SANTA ANA CA
92706-2316
US

IV. Provider business mailing address

5191 SPARROW DR
HUNTINGTON BEACH CA
92649-1439
US

V. Phone/Fax

Practice location:
  • Phone: 714-567-6241
  • Fax: 714-834-8051
Mailing address:
  • Phone: 714-567-6241
  • Fax: 714-972-9744

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number25895
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: