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1548554637 NPI number — HOA D NGUYEN

NPI Number: 1548554637
Health Care Provider/Practitioner: HOA D NGUYEN

Information about “1548554637” NPI (HOA D NGUYEN) exists in 1548554637 in HTML format HTML  |  1548554637 in plain Text format TXT  |  1548554637 in PDF (Portable Document Format) PDF  |  1548554637 in an XML format XML  formats.

NPI Number : 1548554637 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1548554637",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "NGUYEN",
    "FirstName": "HOA",
    "MiddleName": "D",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "PHARMACY",
    "OtherFirstName": "MAILAN",
    "OtherMiddleName": "HERITAGE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "14441 BEACH BLVD",
    "SecondLineMailingAddress": "#108",
    "MailingAddressCityName": "WESTMINSTER",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "92683-5342",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "714-899-4960",
    "MailingAddressFaxNumber": "714-876-6011",
    "FirstLinePracticeLocationAddress": "14441 BEACH BLVD",
    "SecondLinePracticeLocationAddress": "#108",
    "PracticeLocationAddressCityName": "WESTMINSTER",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "92683-5342",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "714-899-4960",
    "PracticeLocationAddressFaxNumber": "714-876-6011",
    "EnumerationDate": "06/06/2011",
    "LastUpdateDate": "02/22/2022",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "183500000X",
        "TaxonomyName": "Pharmacist",
        "LicenseNumber": "40739",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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