Provider Demographics
NPI:1538437439
Name:NGUYEN, TUYET-NGA THI (RPH)
Entity type:Individual
Prefix:
First Name:TUYET-NGA
Middle Name:THI
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5691 WINDCROFT DR
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92649-4858
Mailing Address - Country:US
Mailing Address - Phone:714-846-7485
Mailing Address - Fax:714-846-7485
Practice Address - Street 1:13200 BLOOMFIELD AVE
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:CA
Practice Address - Zip Code:90650-3253
Practice Address - Country:US
Practice Address - Phone:562-868-9979
Practice Address - Fax:562-863-3824
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-06
Last Update Date:2011-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH43275183500000X
NV10174183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist