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NPI Code Detail

MEDICARE: BRIAN VAN NGUYEN

MEDICARE: BRIAN 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
1183500000XPharmacist76134CA

General Provider Information

NPI Number : 1336653310
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIAN VAN NGUYEN
Provider Business Mailing Address
First Line : 3714 W 11TH ST
Second Line :
City : SANTA ANA
State : CA
Zip : 92703-1711
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 220 E GRAND AVE
Second Line :
City : EL SEGUNDO
State : CA
Zip : 90245-3827
Country : US
Telephone Number : 310-640-2715
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/29/2017
Last Update Date : 11/29/2017

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Directions to “ BRIAN 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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