Nguyen, Tam Thu

Nguyen, Tam Thu is an sole proprietor health care provider with primary practice located at 9191 Bolsa Ave 116, Westminster CA 92683-5564. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Nguyen, Tam Thu can be contacted via phone (714) 235-3415.

Contact Information

Primary practice address
9191 Bolsa Ave 116 Westminster CA 92683-5564
Fax: (909) 987-4956
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 11086T California

Profile Details

NPI number 1346366093
LBN Legal business name Nguyen, Tam Thu
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 22nd, 2007
Last updated Dec 26th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346366093 NPPES
California MEDICAID SD 0110861

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