Provider Demographics
NPI:1467822510
Name:NGUYEN, CHRISTINA VUONG (PHARMD)
Entity type:Individual
Prefix:DR
First Name:CHRISTINA
Middle Name:VUONG
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:990 AVENIDA VISTA HERMOSA
Mailing Address - Street 2:
Mailing Address - City:SAN CLEMENTE
Mailing Address - State:CA
Mailing Address - Zip Code:92673-6360
Mailing Address - Country:US
Mailing Address - Phone:949-456-8669
Mailing Address - Fax:
Practice Address - Street 1:990 AVENIDA VISTA HERMOSA
Practice Address - Street 2:
Practice Address - City:SAN CLEMENTE
Practice Address - State:CA
Practice Address - Zip Code:92673-6360
Practice Address - Country:US
Practice Address - Phone:949-456-8669
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-10-01
Last Update Date:2025-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA73595183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist