Provider Demographics
NPI:1033690060
Name:NGUYEN, NGHIA HIEU (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:NGHIA
Middle Name:HIEU
Last Name:NGUYEN
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9075 DANUBE LN
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92126-1514
Mailing Address - Country:US
Mailing Address - Phone:858-242-6853
Mailing Address - Fax:
Practice Address - Street 1:4455 MANCHESTER AVE
Practice Address - Street 2:
Practice Address - City:ENCINITAS
Practice Address - State:CA
Practice Address - Zip Code:92024-4934
Practice Address - Country:US
Practice Address - Phone:760-943-9423
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-28
Last Update Date:2018-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA77587183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist