Provider Demographics
NPI:1033279302
Name:NGUYEN, VAN HIEU (ACUPUNCTURIST)
Entity Type:Individual
Prefix:
First Name:VAN
Middle Name:HIEU
Last Name:NGUYEN
Suffix:
Gender:M
Credentials:ACUPUNCTURIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15802 TOPAZ ST
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CA
Mailing Address - Zip Code:92683-7211
Mailing Address - Country:US
Mailing Address - Phone:714-379-0860
Mailing Address - Fax:
Practice Address - Street 1:15581 BROOKHURST ST
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CA
Practice Address - Zip Code:92683-7554
Practice Address - Country:US
Practice Address - Phone:714-839-2122
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC4992171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist