Provider Demographics
NPI:1023046216
Name:NGUYEN, CHAU B (DC)
Entity Type:Individual
Prefix:
First Name:CHAU
Middle Name:B
Last Name:NGUYEN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:JOSEPH CHAU
Other - Middle Name:B
Other - Last Name:NGUYEN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:2901 W MACARTHUR BLVD
Mailing Address - Street 2:STE 105
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92704-6910
Mailing Address - Country:US
Mailing Address - Phone:714-210-2340
Mailing Address - Fax:714-210-2622
Practice Address - Street 1:2901 W MACARTHUR BLVD
Practice Address - Street 2:STE 105
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92704-6910
Practice Address - Country:US
Practice Address - Phone:714-210-2340
Practice Address - Fax:714-210-2622
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC27689111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor