Healthcare Provider Details

I. General information

NPI: 1508023706
Provider Name (Legal Business Name): HUONG GIANG NGHIEM-EILBECK MD, MPH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/16/2008
Last Update Date: 06/08/2023
Certification Date: 06/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8627 ATLANTIC AVE
SOUTH GATE CA
90280-3501
US

IV. Provider business mailing address

770 THE CITY DR S STE 4000
ORANGE CA
92868-4929
US

V. Phone/Fax

Practice location:
  • Phone: 888-499-9303
  • Fax:
Mailing address:
  • Phone: 800-463-6628
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberA108734
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: