Provider Demographics
NPI:1821296716
Name:NGUYEN-MILLER, HANH (LAC, DAOM)
Entity Type:Individual
Prefix:DR
First Name:HANH
Middle Name:
Last Name:NGUYEN-MILLER
Suffix:
Gender:F
Credentials:LAC, DAOM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1507 FEDERAL AVE
Mailing Address - Street 2:UNIT 6
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90025-2933
Mailing Address - Country:US
Mailing Address - Phone:310-922-0030
Mailing Address - Fax:
Practice Address - Street 1:11540 SANTA MONICA BLVD
Practice Address - Street 2:SUITE 204
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90025-7905
Practice Address - Country:US
Practice Address - Phone:310-922-0030
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC8016171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist