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NPI Code Detail

MEDICARE: ANGEL HOANGNHAN NGUYEN

MEDICARE:   ANGEL HOANGNHAN 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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1447037676
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGEL HOANGNHAN NGUYEN
Provider Business Mailing Address
First Line : 12062 VALLEY VIEW ST STE 220
Second Line :
City : GARDEN GROVE
State : CA
Zip : 92845-1739
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 12062 VALLEY VIEW ST STE 220
Second Line :
City : GARDEN GROVE
State : CA
Zip : 92845-1739
Country : US
Telephone Number : 562-356-8600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/12/2023
Last Update Date : 09/12/2023

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Directions to “ ANGEL HOANGNHAN NGUYEN ” Practice Location

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