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NPI Code Detail

MEDICARE: MS. THUY NGOC NGUYEN N.P, C.N.S.

MEDICARE:  MS. THUY NGOC NGUYEN  N.P, C.N.S.
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
1363LG0600XGerontology Nurse Practitioner17795CA
2364SG0600XGerontology Clinical Nurse Specialist2813CA

General Provider Information

NPI Number : 1477729549
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. THUY NGOC NGUYEN N.P, C.N.S.
Provider Business Mailing Address
First Line : 476 LANDFAIR AVENUE #104
Second Line :
City : LOS ANGELES
State : CA
Zip : 90024
Country : US
Telephone Number : 310-267-2621
Fax Number : 310-825-9385
Provider Business Practice Location Address
First Line : UCLA BRAIN RESEARCH INSTITUTE
Second Line : 695 CHARLES YOUNG DRIVE SOUTH BOX 951761
City : LOS ANGELES
State : CA
Zip : 90095-0001
Country : US
Telephone Number : 310-267-2621
Fax Number : 310-825-9385
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/07/2008
Last Update Date : 05/07/2008

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