Provider Demographics
NPI:1376709964
Name:NGUYEN, HUY (DC)
Entity Type:Individual
Prefix:
First Name:HUY
Middle Name:
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 1:1710 W CAMERON AVE STE 110
Mailing Address - Street 2:
Mailing Address - City:WEST COVINA
Mailing Address - State:CA
Mailing Address - Zip Code:91790-2720
Mailing Address - Country:US
Mailing Address - Phone:626-813-7500
Mailing Address - Fax:626-782-6171
Practice Address - Street 1:1710 W CAMERON AVE STE 110
Practice Address - Street 2:
Practice Address - City:WEST COVINA
Practice Address - State:CA
Practice Address - Zip Code:91790-2720
Practice Address - Country:US
Practice Address - Phone:626-813-7500
Practice Address - Fax:626-782-6171
Is Sole Proprietor?:No
Enumeration Date:2008-08-02
Last Update Date:2012-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC 30490111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor