Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0400X | Rehabilitation Chiropractor | 29773 | CA |
NPI | 1164680302 |
---|---|
Provider Name | Scott Hoang Nguyen |
First Address | Garden Grove, CA 92843-2008 |
Second Address | Garden Grove, CA 92843-2008 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2008 |
Last Update Date | 23/05/2008 |