Healthcare Provider Details

I. General information

NPI: 1770576225
Provider Name (Legal Business Name): HOAN C NGUYEN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/30/2005
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9437 EDINGER AVE
WESTMINSTER CA
92683-7425
US

IV. Provider business mailing address

9437 EDINGER AVE
WESTMINSTER CA
92683-7425
US

V. Phone/Fax

Practice location:
  • Phone: 714-839-1115
  • Fax: 714-531-7936
Mailing address:
  • Phone: 714-839-1115
  • Fax: 714-531-7936

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRPH 37664
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: