Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | A134069 | CA |
NPI | 1023351582 |
---|---|
Provider Name | Brenda Nuyen |
First Address | Santa Monica, CA 90404-1927 |
Second Address | Santa Monica, CA 90404-1927 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2013 |
Last Update Date | 16/02/2021 |