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NPI Code Detail

MEDICARE: MISS TRAM NGOC NGUYEN M.A.

MEDICARE: MISS TRAM NGOC NGUYEN M.A.
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
1235Z00000XSpeech-Language PathologistSP15779CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1SP15779OTHERCASPEECH PATHOLOGY LIC

General Provider Information

NPI Number : 1588786602
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS TRAM NGOC NGUYEN M.A.
Provider Business Mailing Address
First Line : 5842 E NAPLES PLZ
Second Line :
City : LONG BEACH
State : CA
Zip : 90803-5039
Country : US
Telephone Number : 562-439-9539
Fax Number : 562-439-2232
Provider Business Practice Location Address
First Line : 5842 E NAPLES PLZ
Second Line :
City : LONG BEACH
State : CA
Zip : 90803-5039
Country : US
Telephone Number : 562-439-9539
Fax Number : 562-439-2232
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2007
Last Update Date : 07/08/2007

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Directions to “ MISS TRAM NGOC NGUYEN M.A.” Practice Location

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