Nguyen, Theresa Thao
Nguyen, Theresa Thao is an individual health care provider with primary practice located at 333 City Blvd W Ste 400 , Orange CA 92868-2994. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutrition, Renal, which is considered as her primary health care specialty. Nguyen, Theresa Thao can be contacted via phone (714) 456-7715.Contact Information
Primary practice address
333 City Blvd W Ste 400
Orange CA 92868-2994
Phone: (714) 456-7715
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Nutrition, Renal | 133VN1005X |
Profile Details
| NPI number | 1619487311 |
|---|---|
| LBN Legal business name | Nguyen, Theresa Thao |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 7th, 2017 |
| Last updated | Mar 17th, 2018 - about 7 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 | 1619487311 | NPPES |
| California | Other | 01 | OTHER |
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