Provider Demographics
NPI:1477729549
Name:NGUYEN, THUY NGOC (NP, CNS)
Entity Type:Individual
Prefix:MS
First Name:THUY
Middle Name:NGOC
Last Name:NGUYEN
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Gender:F
Credentials:NP, CNS
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Mailing Address - Street 1:476 LANDFAIR AVENUE #104
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90024
Mailing Address - Country:US
Mailing Address - Phone:310-267-2621
Mailing Address - Fax:310-825-9385
Practice Address - Street 1:UCLA BRAIN RESEARCH INSTITUTE
Practice Address - Street 2:695 CHARLES YOUNG DRIVE SOUTH BOX 951761
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90095-0001
Practice Address - Country:US
Practice Address - Phone:310-267-2621
Practice Address - Fax:310-825-9385
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-07
Last Update Date:2008-05-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA17795363LG0600X
CA2813364SG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No364SG0600XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistGerontology