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General NPI Number Information
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NPI Number | 1881480788
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Entity Type | Individual
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Provider Name | JOHNNY QUANG NGUYEN MSN, FNP
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Gender | Male
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Dates
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Enumeration Date | 04/17/2025
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Last Update Date | 06/24/2026
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Provider Practice Location Address
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Address Line | 801 N TUSTIN AVE STE 706
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City | SANTA ANA
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State | CA
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Zip | 92705-3611
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Country | US
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Telephone | 714-568-6600
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Fax |
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Provider Business Mailing Address
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Address Line | 9231 OBSIDIAN DR
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City | WESTMINSTER
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State | CA
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Zip | 92683-7345
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Country | US
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Telephone | 714-933-0636
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | NP95038157
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 95226627
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License Number State | CA
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