Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | EL6781 | CA |
NPI | 1063918845 |
---|---|
Provider Name | Han Nguyen |
First Address | Laguna Niguel, CA 92677-0937 |
Second Address | Ladera Ranch, CA 92694-2180 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/04/2018 |
Last Update Date | 17/10/2019 |