Provider Demographics
NPI:1154456572
Name:NGUYEN, HAO THE (BS)
Entity Type:Individual
Prefix:MR
First Name:HAO
Middle Name:THE
Last Name:NGUYEN
Suffix:
Gender:M
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11704 BRADDOCK DR
Mailing Address - Street 2:
Mailing Address - City:CULVER CITY
Mailing Address - State:CA
Mailing Address - Zip Code:90230-5161
Mailing Address - Country:US
Mailing Address - Phone:310-313-4234
Mailing Address - Fax:
Practice Address - Street 1:11704 BRADDOCK DR
Practice Address - Street 2:
Practice Address - City:CULVER CITY
Practice Address - State:CA
Practice Address - Zip Code:90230-5161
Practice Address - Country:US
Practice Address - Phone:310-313-4234
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner