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NPI Code Detail

MEDICARE: LILLIAN PHI NGUYEN

MEDICARE:   LILLIAN PHI 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
1183500000XPharmacist61961CA

General Provider Information

NPI Number : 1477872521
Entity Type Code : Individual
Provider Name (Legal Business Name) : LILLIAN PHI NGUYEN
Provider Business Mailing Address
First Line : 13441 BARNEY ST
Second Line :
City : WESTMINSTER
State : CA
Zip : 92683-2406
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 : 310-640-0804
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2010
Last Update Date : 05/27/2010

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Directions to “ LILLIAN PHI NGUYEN ” Practice Location

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