Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0205X | Pediatric Endocrinologist | A95369 | CA |
NPI | 1255471975 |
---|---|
Provider Name | Huong Quynh Nguyen |
First Address | Fresno, CA 93720-0350 |
Second Address | Fresno, CA 93720-0350 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/02/2007 |
Last Update Date | 10/07/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
04-30962 | KANSAS MEDICAL LICENSE (01) | KS |
2005033053 | MISSOURI MEDICAL LICENSE (01) | MO |