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NPI Code Detail

MEDICARE: DR. CAROLYN NGUYEN MD

MEDICARE:  DR. CAROLYN  NGUYEN  MD
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
12084P0800XPsychiatry PhysicianA92395CA
22084P0804XChild & Adolescent Psychiatry PhysicianA92395CA

General Provider Information

NPI Number : 1306005301
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CAROLYN NGUYEN MD
Provider Business Mailing Address
First Line : 1001 DOVE ST STE 280
Second Line :
City : NEWPORT BEACH
State : CA
Zip : 92660-2815
Country : US
Telephone Number : 949-682-5437
Fax Number : 888-328-7460
Provider Business Practice Location Address
First Line : 1001 DOVE ST
Second Line : SUITE 280
City : NEWPORT BEACH
State : CA
Zip : 92660-2838
Country : US
Telephone Number : 949-682-5437
Fax Number : 888-328-7460
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/04/2008
Last Update Date : 06/12/2012

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Directions to “ DR. CAROLYN NGUYEN MD” Practice Location

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