Provider Demographics
NPI:1467822510
Name:NGUYEN, CHRISTINA VUONG (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINA
Middle Name:VUONG
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14801 ATHEL AVE
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92606-2602
Mailing Address - Country:US
Mailing Address - Phone:714-743-6399
Mailing Address - Fax:
Practice Address - Street 1:1016 BAYSIDE DR
Practice Address - Street 2:
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92660-7462
Practice Address - Country:US
Practice Address - Phone:949-760-0111
Practice Address - Fax:949-760-0105
Is Sole Proprietor?:No
Enumeration Date:2015-10-01
Last Update Date:2015-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA73595183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist