Provider Demographics
NPI:1841576451
Name:NGUYEN, KHANHLINH XUAN (RPH)
Entity Type:Individual
Prefix:
First Name:KHANHLINH
Middle Name:XUAN
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:351 W FELICITA AVE
Mailing Address - Street 2:
Mailing Address - City:ESCONDIDO
Mailing Address - State:CA
Mailing Address - Zip Code:92025-6515
Mailing Address - Country:US
Mailing Address - Phone:760-480-4900
Mailing Address - Fax:760-480-4904
Practice Address - Street 1:351 W FELICITA AVE
Practice Address - Street 2:
Practice Address - City:ESCONDIDO
Practice Address - State:CA
Practice Address - Zip Code:92025-6515
Practice Address - Country:US
Practice Address - Phone:760-480-4900
Practice Address - Fax:760-480-4904
Is Sole Proprietor?:No
Enumeration Date:2011-10-26
Last Update Date:2011-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA58278183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist