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NPI Code Detail

MEDICARE: LINDA NGUYEN OD, INC

MEDICARE: LINDA NGUYEN OD, INC
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
1152W00000XOptometrist

General Provider Information

NPI Number : 1427890375
Entity Type Code : Organization
Provider Name (Legal Business Name) : LINDA NGUYEN OD, INC
Provider Business Mailing Address
First Line : 2166 W BROADWAY STE 156
Second Line :
City : ANAHEIM
State : CA
Zip : 92804-2446
Country : US
Telephone Number : 714-890-2069
Fax Number :
Provider Business Practice Location Address
First Line : 701 RIO RANCHO RD
Second Line :
City : POMONA
State : CA
Zip : 91766-7018
Country : US
Telephone Number : 909-469-4854
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DR. LINDA NGUYEN
Credential : OD
Telephone Number : 714-890-2069
Provider Enumeration Date : 06/11/2024
Last Update Date : 06/11/2024

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