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NPI Code Detail

MEDICARE: DR. CHRISTOPHER CUONG NGUYEN L.AC., PH.D.

MEDICARE: DR. CHRISTOPHER CUONG NGUYEN L.AC., PH.D.
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
1171100000XAcupuncturistAC 8084CA

General Provider Information

NPI Number : 1285761098
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHRISTOPHER CUONG NGUYEN L.AC., PH.D.
Provider Business Mailing Address
First Line : 12059 SYCAMORE LN
Second Line :
City : GARDEN GROVE
State : CA
Zip : 92843-1665
Country : US
Telephone Number : 714-636-7641
Fax Number : 714-636-7641
Provider Business Practice Location Address
First Line : 217 EL CAMINO REAL
Second Line : SUITE C
City : TUSTIN
State : CA
Zip : 92780-3603
Country : US
Telephone Number : 714-544-1500
Fax Number : 714-544-1538
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/28/2007
Last Update Date : 07/08/2007

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