Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 122300000X | Dentist | 56611 | CA |
NPI | 1003099730 |
---|---|
Provider Name | Dr. Huong Ngoc Nguyen |
First Address | Newport Beach, CA 92663-3641 |
Second Address | Newport Beach, CA 92663-3641 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/12/2007 |
Last Update Date | 12/08/2019 |