Nguyen, Thao Phuong
Nguyen, Thao Phuong is an sole proprietor health care provider with primary practice located at 14322 Brookhurst St , Garden Grove CA 92843-4608. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Nguyen, Thao Phuong can be contacted via phone (714) 839-9996.Contact Information
Primary practice address
14322 Brookhurst St
Garden Grove CA 92843-4608
Phone: (714) 839-9996
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPT 10149 TPA | California |
Profile Details
| NPI number | 1922123561 |
|---|---|
| LBN Legal business name | Nguyen, Thao Phuong |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 20th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922123561 | NPPES |
| California | MEDICAID | SD0101490 |
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