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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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1598361370
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDA NGUYEN
Provider Business Mailing Address
First Line : 3002 DOW AVE STE 206
Second Line :
City : TUSTIN
State : CA
Zip : 92780-7234
Country : US
Telephone Number : 657-294-5113
Fax Number :
Provider Business Practice Location Address
First Line : 3002 DOW AVE STE 206
Second Line :
City : TUSTIN
State : CA
Zip : 92780-7234
Country : US
Telephone Number : 657-294-5113
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/08/2020
Last Update Date : 12/08/2020

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Directions to “ LINDA NGUYEN ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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