Provider Demographics
NPI:1063305514
Name:NGUYEN, TRA DANG HUONG
Entity type:Individual
Prefix:
First Name:TRA
Middle Name:DANG HUONG
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:729 ELKUS WALK APT 101
Mailing Address - Street 2:
Mailing Address - City:GOLETA
Mailing Address - State:CA
Mailing Address - Zip Code:93117-4169
Mailing Address - Country:US
Mailing Address - Phone:346-331-7611
Mailing Address - Fax:
Practice Address - Street 1:729 ELKUS WALK APT 101
Practice Address - Street 2:
Practice Address - City:GOLETA
Practice Address - State:CA
Practice Address - Zip Code:93117-4169
Practice Address - Country:US
Practice Address - Phone:346-331-7611
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-02
Last Update Date:2025-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes373H00000XNursing Service Related ProvidersDay Training/Habilitation Specialist