| Van T Nguyen | |
|
232 W Main St Ste 103 Tustin CA 92780-7712 | |
| (310) 874-7386 | |
| (714) 832-9903 |
| Full Name | Van T Nguyen |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 232 W Main St Ste 103, Tustin, California |
| Authorized Official Name and Position | Van T Nguyen (PRESIDENT) |
| Authorized Official Contact | 3108747386 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Van T Nguyen 232 W Main St Ste 103 Tustin CA 92780-7712 Ph: (310) 874-7386 | Van T Nguyen 232 W Main St Ste 103 Tustin CA 92780-7712 Ph: (310) 874-7386 |
| NPI Number | 1730851130 |
|---|---|
| Provider Enumeration Date | 10/04/2021 |
| Last Update Date | 10/04/2021 |
| Certification Date | 10/04/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730851130 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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