Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | ND1284 | CA |
N | 175L00000X | Homeopath |
NPI | 1093477606 |
---|---|
Provider Name | Dr. Quan Nguyen |
First Address | Santa Ana, CA 92703-2632 |
Second Address | Irvine, CA 92618-4309 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/10/2021 |
Last Update Date | 04/01/2022 |