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NPI Code Detail

MEDICARE: ANH-LINH TERESA NGUYEN OD

MEDICARE:   ANH-LINH TERESA NGUYEN  OD
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
1152W00000XOptometrist10146TCA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1124016183
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANH-LINH TERESA NGUYEN OD
Provider Business Mailing Address
First Line : 3801 S HARBOR BLVD
Second Line : STE C
City : SANTA ANA
State : CA
Zip : 92704-7901
Country : US
Telephone Number : 714-531-9900
Fax Number : 714-531-0236
Provider Business Practice Location Address
First Line : 3801 S HARBOR BLVD
Second Line : STE C
City : SANTA ANA
State : CA
Zip : 92704-7901
Country : US
Telephone Number : 714-553-1990
Fax Number : 714-531-0236
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/12/2005
Last Update Date : 12/04/2019

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Directions to “ ANH-LINH TERESA NGUYEN OD” Practice Location

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