Provider Demographics
NPI:1538453303
Name:NGUYEN, THU HA (MD)
Entity type:Individual
Prefix:DR
First Name:THU HA
Middle Name:
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1849 SAWTELLE BLVD STE 503
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90025-7011
Mailing Address - Country:US
Mailing Address - Phone:424-407-0077
Mailing Address - Fax:424-407-0078
Practice Address - Street 1:1849 SAWTELLE BLVD STE 503
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90025-7011
Practice Address - Country:US
Practice Address - Phone:424-407-0077
Practice Address - Fax:424-407-0078
Is Sole Proprietor?:No
Enumeration Date:2011-06-08
Last Update Date:2024-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXV36572084P0800X
NY2747382084P0804X
CA1488492084P0804X
CAA1488492084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry