Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | A144835 | CA |
N | 111NI0900X | Internist | A144835 | CA |
Y | 2080P0201X | Pediatric Allergist | A144835 | CA |
NPI | 1356735799 |
---|---|
Provider Name | Anh P Nguyen |
First Address | Sacramento, CA 95817-2208 |
Second Address | Sacramento, CA 95817-2208 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/03/2015 |
Last Update Date | 17/08/2020 |