Provider Demographics
NPI:1154468213
Name:NGUYEN, VU QUANG (DC)
Entity Type:Individual
Prefix:DR
First Name:VU
Middle Name:QUANG
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:PO BOX 37342
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96837
Mailing Address - Country:US
Mailing Address - Phone:808-488-8588
Mailing Address - Fax:808-356-1707
Practice Address - Street 1:98-1005 MOANALUA RD
Practice Address - Street 2:SPC 235
Practice Address - City:AIEA
Practice Address - State:HI
Practice Address - Zip Code:96701-4707
Practice Address - Country:US
Practice Address - Phone:808-524-8588
Practice Address - Fax:808-356-1707
Is Sole Proprietor?:No
Enumeration Date:2007-01-30
Last Update Date:2018-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI760111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor