Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | A91221 | CA |
NPI | 1033381553 |
---|---|
Provider Name | Dr. Tina N. Nguyen |
First Address | Redwood City, CA 94063-2037 |
Second Address | Redwood City, CA 94063-2037 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/03/2008 |
Last Update Date | 11/02/2022 |