Provider Demographics
NPI:1114204369
Name:NGUYEN, PAUL HOA (PHD, LAC)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:HOA
Last Name:NGUYEN
Suffix:
Gender:M
Credentials:PHD, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10131 WESTMINSTER AVE
Mailing Address - Street 2:SUITE 208
Mailing Address - City:GARDEN GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:92843-4752
Mailing Address - Country:US
Mailing Address - Phone:714-537-0988
Mailing Address - Fax:714-537-0988
Practice Address - Street 1:10131 WESTMINSTER AVE
Practice Address - Street 2:SUITE 208
Practice Address - City:GARDEN GROVE
Practice Address - State:CA
Practice Address - Zip Code:92843-4752
Practice Address - Country:US
Practice Address - Phone:714-537-0988
Practice Address - Fax:714-537-0988
Is Sole Proprietor?:No
Enumeration Date:2011-11-15
Last Update Date:2011-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC 13166171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist