MEDICARE: DR. MARK V. HUNG NGUYEN ED.D. PSY.D.

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
1	103TS0200X	School Psychologist	220233393	CA
2	103T00000X	Psychologist	29174	CA

General Provider Information

NPI Number	:	1487288619
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARK V. HUNG NGUYEN ED.D. PSY.D.

Provider Business Mailing Address
First Line	:	14152 BOWEN ST
Second Line	:
City	:	GARDEN GROVE
State	:	CA
Zip	:	92843-4803
Country	:	US
Telephone Number	:	714-724-5722
Fax Number	:

Provider Business Practice Location Address
First Line	:	14152 BOWEN ST
Second Line	:
City	:	GARDEN GROVE
State	:	CA
Zip	:	92843-4803
Country	:	US
Telephone Number	:	714-724-5722
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/26/2020
Last Update Date	:	02/11/2026

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