Healthcare Provider Details

I. General information

NPI: 1326316076
Provider Name (Legal Business Name): CATHERINE NHY NGUYEN PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/09/2011
Last Update Date: 11/01/2023
Certification Date: 11/01/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13671 BEACH BLVD STE A
WESTMINSTER CA
92683-3200
US

IV. Provider business mailing address

13671 BEACH BLVD STE A
WESTMINSTER CA
92683-3200
US

V. Phone/Fax

Practice location:
  • Phone: 714-467-4321
  • Fax: 714-467-4311
Mailing address:
  • Phone: 714-467-4321
  • Fax: 714-467-4311

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RA0000X
TaxonomyAdolescent Medicine (Internal Medicine) Physician
License NumberA69222
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA21907
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: