Provider Demographics
NPI:1730967837
Name:NGUYEN, VICTORIA BICH-THUAN
Entity type:Individual
Prefix:
First Name:VICTORIA
Middle Name:BICH-THUAN
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:507 S EUCLID ST SPC 92
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92704-1002
Mailing Address - Country:US
Mailing Address - Phone:714-924-0451
Mailing Address - Fax:
Practice Address - Street 1:507 S EUCLID ST SPC 92
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92704-1002
Practice Address - Country:US
Practice Address - Phone:714-924-0451
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-19
Last Update Date:2023-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician