Provider Demographics
NPI:1629226196
Name:NGUYEN, JENNIFER HOANG ANH (MSW)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:HOANG ANH
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 ORANGE BLOSSOM
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92618-4417
Mailing Address - Country:US
Mailing Address - Phone:949-331-8626
Mailing Address - Fax:
Practice Address - Street 1:975 FLYNN RD.
Practice Address - Street 2:
Practice Address - City:CAMARILLO
Practice Address - State:CA
Practice Address - Zip Code:93012-4855
Practice Address - Country:US
Practice Address - Phone:805-914-1427
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-08
Last Update Date:2010-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker