MEDICARE: JAMES HUNG NGUYEN RPH

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
1	183500000X	Pharmacist	RPH 48523	CA

General Provider Information

NPI Number	:	1306971700
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES HUNG NGUYEN RPH

Provider Business Mailing Address
First Line	:	7456 E VILLANUEVA DR
Second Line	:
City	:	ORANGE
State	:	CA
Zip	:	92867-6425
Country	:	US
Telephone Number	:	714-279-0223
Fax Number	:	949-646-0201

Provider Business Practice Location Address
First Line	:	211 E 17TH ST
Second Line	:
City	:	COSTA MESA
State	:	CA
Zip	:	92627-3831
Country	:	US
Telephone Number	:	949-646-4960
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/23/2007
Last Update Date	:	07/08/2007

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