Provider Demographics
NPI:1912386954
Name:NGUYEN, BINH NGOC (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:BINH
Middle Name:NGOC
Last Name:NGUYEN
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6755 WESTMINSTER BLVD
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CA
Mailing Address - Zip Code:92683-3706
Mailing Address - Country:US
Mailing Address - Phone:714-898-9669
Mailing Address - Fax:714-898-5039
Practice Address - Street 1:6755 WESTMINSTER BLVD
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CA
Practice Address - Zip Code:92683-3706
Practice Address - Country:US
Practice Address - Phone:714-898-9669
Practice Address - Fax:714-898-5039
Is Sole Proprietor?:No
Enumeration Date:2015-05-22
Last Update Date:2015-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA51167183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist