Provider Demographics
NPI:1346582335
Name:NGUYEN, VIET THUY (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:VIET
Middle Name:THUY
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:313 N FIGUEROA ST RM 132
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90012-2602
Mailing Address - Country:US
Mailing Address - Phone:323-768-2787
Mailing Address - Fax:213-260-2301
Practice Address - Street 1:313 N FIGUEROA ST RM 132
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90012-2602
Practice Address - Country:US
Practice Address - Phone:323-768-2787
Practice Address - Fax:213-260-2301
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-18
Last Update Date:2019-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA135532174400000X, 2084P0800X
282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No174400000XOther Service ProvidersSpecialist
No282N00000XHospitalsGeneral Acute Care Hospital