Provider Demographics
NPI:1538817515
Name:NINA NGUY PSYCHOLOGY, PC
Entity type:Organization
Organization Name:NINA NGUY PSYCHOLOGY, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NINA
Authorized Official - Middle Name:
Authorized Official - Last Name:NGUY
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:626-991-2099
Mailing Address - Street 1:13592 CARROLL WAY
Mailing Address - Street 2:
Mailing Address - City:TUSTIN
Mailing Address - State:CA
Mailing Address - Zip Code:92780-1805
Mailing Address - Country:US
Mailing Address - Phone:626-991-2099
Mailing Address - Fax:
Practice Address - Street 1:2900 BRISTOL ST STE D106
Practice Address - Street 2:
Practice Address - City:COSTA MESA
Practice Address - State:CA
Practice Address - Zip Code:92626-5940
Practice Address - Country:US
Practice Address - Phone:626-991-2099
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-17
Last Update Date:2022-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty