Healthcare Provider Details

I. General information

NPI: 1730773979
Provider Name (Legal Business Name): CHLOE NGUYEN PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/01/2021
Last Update Date: 01/11/2026
Certification Date: 01/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8150 CATHERINE AVE
STANTON CA
90680-3952
US

IV. Provider business mailing address

8150 CATHERINE AVE
STANTON CA
90680-3952
US

V. Phone/Fax

Practice location:
  • Phone: 714-914-9329
  • Fax:
Mailing address:
  • Phone: 714-914-9329
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number9509600
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number95038097
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: