Provider Demographics
NPI:1902407836
Name:NGUYEN, CHRISTINA TOCHAU
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:TOCHAU
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5219 RAINWOOD ST
Mailing Address - Street 2:
Mailing Address - City:SIMI VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:93063-5019
Mailing Address - Country:US
Mailing Address - Phone:805-302-7669
Mailing Address - Fax:
Practice Address - Street 1:5219 RAINWOOD ST
Practice Address - Street 2:
Practice Address - City:SIMI VALLEY
Practice Address - State:CA
Practice Address - Zip Code:93063-5019
Practice Address - Country:US
Practice Address - Phone:805-302-7669
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-06
Last Update Date:2020-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA82468183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist