Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN1001X | Nutrition | 18564 | CA |
NPI | 1235376146 |
---|---|
Provider Name | Dr. Thuyen Xuan Nguyen |
First Address | Westminster, CA 92683-4043 |
Second Address | Westminster, CA 92683-4043 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/01/2009 |
Last Update Date | 13/09/2010 |