Healthcare Provider Details

I. General information

NPI: 1326294083
Provider Name (Legal Business Name): DANIEL DUNGHUU NGUYEN DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/13/2008
Last Update Date: 08/13/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10301 BOLSA AVE STE 103
WESTMINSTER CA
92683-6784
US

IV. Provider business mailing address

10301 BOLSA AVE STE 103
WESTMINSTER CA
92683-6784
US

V. Phone/Fax

Practice location:
  • Phone: 714-531-0282
  • Fax: 714-531-5365
Mailing address:
  • Phone: 714-531-0282
  • Fax: 714-531-5365

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NI0013X
TaxonomyIndependent Medical Examiner Chiropractor
License Number23078
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: