Healthcare Provider Details
I. General information
NPI: 1982717849
Provider Name (Legal Business Name): WESTMINSTER TOWER MEDICAL CENTER INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/16/2006
Last Update Date: 10/27/2017
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8341 WESTMINSTER BLVD STE 202
WESTMINSTER CA
92683-8339
US
IV. Provider business mailing address
8341 WESTMINSTER BLVD STE 202
WESTMINSTER CA
92683-8339
US
V. Phone/Fax
- Phone: 714-902-1435
- Fax: 714-902-1450
- Phone: 714-902-1435
- Fax: 714-902-1450
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | G67118 |
| License Number State | CA |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207V00000X |
| Taxonomy | Obstetrics & Gynecology Physician |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | A55741 |
| License Number State | CA |
| # 5 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MARIANNE
NGUYEN
Title or Position: PRESIDENT
Credential: M.D.
Phone: 714-766-6478