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NPI Code Detail

MEDICARE: VIVIAN VAN NGUYEN

MEDICARE: VIVIAN VAN NGUYEN
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
1183500000XPharmacist54266CA

General Provider Information

NPI Number : 1275030520
Entity Type Code : Individual
Provider Name (Legal Business Name) : VIVIAN VAN NGUYEN
Provider Business Mailing Address
First Line : 2993 LILY CT
Second Line :
City : RIVERSIDE
State : CA
Zip : 92503-8809
Country : US
Telephone Number : 714-873-2327
Fax Number :
Provider Business Practice Location Address
First Line : 6250 VALLEY SPRINGS PKWY
Second Line :
City : RIVERSIDE
State : CA
Zip : 92507-0970
Country : US
Telephone Number : 951-653-2969
Fax Number : 951-697-1005
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/11/2018
Last Update Date : 04/11/2018

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Directions to “ VIVIAN VAN NGUYEN ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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