Provider Demographics
NPI:1881575819
Name:NGUYEN, BRYAN DUY MINH
Entity type:Individual
Prefix:
First Name:BRYAN
Middle Name:DUY MINH
Last Name:NGUYEN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:#30168 9450 GILMAN DR
Mailing Address - Street 2:
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92092-2002
Mailing Address - Country:US
Mailing Address - Phone:408-821-7227
Mailing Address - Fax:
Practice Address - Street 1:#30168 9450 GILMAN DR
Practice Address - Street 2:
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92092-2002
Practice Address - Country:US
Practice Address - Phone:408-821-7227
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-08
Last Update Date:2025-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst