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NPI Code Detail

MEDICARE: MS. CHRISTINA THI NGUYEN PA - C

MEDICARE: MS. CHRISTINA THI NGUYEN PA - C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AM0700XMedical Physician Assistant52593CA

General Provider Information

NPI Number : 1063894988
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CHRISTINA THI NGUYEN PA - C
Provider Business Mailing Address
First Line : 9122 ADAMS AVE
Second Line :
City : HUNTINGTON BEACH
State : CA
Zip : 92646
Country : US
Telephone Number : 714-378-0900
Fax Number : 714-378-5166
Provider Business Practice Location Address
First Line : 1550 SUPERIOR AVE
Second Line :
City : COSTA MESA
State : CA
Zip : 92627-3653
Country : US
Telephone Number : 949-270-2100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2015
Last Update Date : 12/08/2025

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