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NPI Code Detail

MEDICARE: MICHELLE NGUYEN

MEDICARE: MICHELLE 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
1152W00000XOptometrist36315CA

General Provider Information

NPI Number : 1669307492
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE NGUYEN
Provider Business Mailing Address
First Line : 7521 EDINGER AVE UNIT 4015
Second Line :
City : HUNTINGTON BEACH
State : CA
Zip : 92647-0649
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5901 E 7TH ST
Second Line :
City : LONG BEACH
State : CA
Zip : 90822-5201
Country : US
Telephone Number : 408-992-5789
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2026
Last Update Date : 06/15/2026

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Directions to “ MICHELLE NGUYEN ” Practice Location

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