Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | A129274 | CA |
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | A129274 | CA |
NPI | 1790173292 |
---|---|
Provider Name | My-Linh Thi Nguyen |
First Address | Walnut Creek, CA 94597-2168 |
Second Address | Walnut Creek, CA 94598-5901 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/01/2015 |
Last Update Date | 22/09/2021 |