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NPI Code Detail

MEDICARE: DR. MARY HOANG NGUYEN PHARMD

MEDICARE:  DR. MARY HOANG NGUYEN  PHARMD
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
1183500000XPharmacistRPH81046CA

General Provider Information

NPI Number : 1245877570
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARY HOANG NGUYEN PHARMD
Provider Business Mailing Address
First Line : 1500 SAN PABLO ST
Second Line :
City : LOS ANGELES
State : CA
Zip : 90033-5313
Country : US
Telephone Number : 800-872-2273
Fax Number :
Provider Business Practice Location Address
First Line : 1500 SAN PABLO ST
Second Line :
City : LOS ANGELES
State : CA
Zip : 90033-5313
Country : US
Telephone Number : 800-872-2273
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/05/2019
Last Update Date : 02/15/2026

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Directions to “ DR. MARY HOANG NGUYEN PHARMD” Practice Location

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