Provider Demographics
NPI:1558828848
Name:NGUYEN-LOH, CATHERINE VAN (DO)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:VAN
Last Name:NGUYEN-LOH
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8970 WARNER AVE
Mailing Address - Street 2:
Mailing Address - City:FOUNTAIN VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92708-3211
Mailing Address - Country:US
Mailing Address - Phone:714-477-8400
Mailing Address - Fax:714-477-8401
Practice Address - Street 1:8970 WARNER AVE
Practice Address - Street 2:
Practice Address - City:FOUNTAIN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92708-3211
Practice Address - Country:US
Practice Address - Phone:714-477-8400
Practice Address - Fax:714-477-8401
Is Sole Proprietor?:No
Enumeration Date:2019-02-22
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A20201207Q00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine