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NPI Code Detail

MEDICARE: LINDA NGUYEN

MEDICARE: LINDA 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
1101YA0400XAddiction (Substance Use Disorder) Counselor8051CA

General Provider Information

NPI Number : 1558886507
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDA NGUYEN
Provider Business Mailing Address
First Line : 1839 S EL DORADO ST
Second Line :
City : STOCKTON
State : CA
Zip : 95206-2025
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1839 S EL DORADO ST
Second Line :
City : STOCKTON
State : CA
Zip : 95206-2025
Country : US
Telephone Number : 209-463-0870
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2017
Last Update Date : 04/15/2026

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Directions to “ LINDA NGUYEN ” Practice Location

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