Provider Demographics
NPI:1104039163
Name:NGUYEN, MINH-HUNG DINH (DC)
Entity Type:Individual
Prefix:
First Name:MINH-HUNG
Middle Name:DINH
Last Name:NGUYEN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15669 BROOKHURST ST
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CA
Mailing Address - Zip Code:92683-7556
Mailing Address - Country:US
Mailing Address - Phone:714-531-5221
Mailing Address - Fax:714-531-5417
Practice Address - Street 1:15669 BROOKHURST ST
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CA
Practice Address - Zip Code:92683-7556
Practice Address - Country:US
Practice Address - Phone:714-531-5221
Practice Address - Fax:714-531-5417
Is Sole Proprietor?:No
Enumeration Date:2007-05-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC21760111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor