Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | 36990 | CA |
Y | 213EG0000X | General Practice | 36990 | CA |
NPI | 1003012097 |
---|---|
Provider Name | Ms. Cynthia Bich Van Nguyen |
First Address | Anaheim, CA 92801 |
Second Address | Anaheim, CA 92801 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/06/2007 |
Last Update Date | 08/07/2007 |