Provider Demographics
NPI:1730376914
Name:NGUYEN, HA HONG (CNM)
Entity type:Individual
Prefix:MISS
First Name:HA HONG
Middle Name:
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:MISS
Other - First Name:HA HONG
Other - Middle Name:
Other - Last Name:NGUYEN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RNP
Mailing Address - Street 1:1994 PALOMA ST.
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91104-4819
Mailing Address - Country:US
Mailing Address - Phone:626-264-0811
Mailing Address - Fax:
Practice Address - Street 1:1994 PALOMA ST.
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91104-4819
Practice Address - Country:US
Practice Address - Phone:626-264-0811
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-01
Last Update Date:2014-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA12382176B00000X
CA525894282NW0100X
CA14919364SW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife
No282NW0100XHospitalsGeneral Acute Care HospitalWomen
No364SW0102XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistWomen's Health