Provider Demographics
NPI:1609166149
Name:NGUYEN, GLORIA HOAIHUONG (MD)
Entity Type:Individual
Prefix:
First Name:GLORIA
Middle Name:HOAIHUONG
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:MD
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Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:450 BROADWAY ST
Mailing Address - Street 2:PAVILION B, 4TH FLOOR
Mailing Address - City:REDWOOD CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94063-3132
Mailing Address - Country:US
Mailing Address - Phone:650-725-6638
Mailing Address - Fax:650-721-3476
Practice Address - Street 1:450 BROADWAY ST
Practice Address - Street 2:PAVILION B, 4TH FLOOR
Practice Address - City:REDWOOD CITY
Practice Address - State:CA
Practice Address - Zip Code:94063-3132
Practice Address - Country:US
Practice Address - Phone:650-725-6638
Practice Address - Fax:650-721-3476
Is Sole Proprietor?:No
Enumeration Date:2011-04-18
Last Update Date:2021-12-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA143325207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology