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NPI Code Detail

MEDICARE: NGUYEN TRINH

MEDICARE:   NGUYEN  TRINH
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
1363L00000XNurse Practitioner95033947CA

General Provider Information

NPI Number : 1790598456
Entity Type Code : Individual
Provider Name (Legal Business Name) : NGUYEN TRINH
Provider Business Mailing Address
First Line : 8522 ELMER LN
Second Line :
City : GARDEN GROVE
State : CA
Zip : 92841-1043
Country : US
Telephone Number : 805-825-5471
Fax Number :
Provider Business Practice Location Address
First Line : 3900 E PACIFIC COAST HWY
Second Line :
City : LONG BEACH
State : CA
Zip : 90804-2000
Country : US
Telephone Number : 833-574-2273
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/28/2025
Last Update Date : 03/11/2026

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Directions to “ NGUYEN TRINH ” Practice Location

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