Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | A61958 | CA |
Y | 111NI0900X | Internist | A61958 | CA |
N | 207RH0002X | Hospice and Palliative Medicine | A61958 | CA |
NPI | 1043306673 |
---|---|
Provider Name | Dr. Teneese Nguyen |
First Address | Laguna Hills, CA 92653-1341 |
Second Address | Laguna Hills, CA 92653-1341 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/10/2006 |
Last Update Date | 28/03/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A061958 | (05) | CA |
H02139 | (02) | CA |