Provider Demographics
NPI:1184604944
Name:NGUYEN, VY CHI (MD)
Entity type:Individual
Prefix:DR
First Name:VY
Middle Name:CHI
Last Name:NGUYEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:10161 BOLSA AVE
Mailing Address - Street 2:STE C202
Mailing Address - City:WESTMINSTER
Mailing Address - State:CA
Mailing Address - Zip Code:92683-6775
Mailing Address - Country:US
Mailing Address - Phone:714-775-2222
Mailing Address - Fax:714-775-3676
Practice Address - Street 1:10161 BOLSA AVE
Practice Address - Street 2:STE C202
Practice Address - City:WESTMINSTER
Practice Address - State:CA
Practice Address - Zip Code:92683-6768
Practice Address - Country:US
Practice Address - Phone:714-775-2222
Practice Address - Fax:714-775-3676
Is Sole Proprietor?:No
Enumeration Date:2006-01-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA48930173000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes173000000XOther Service ProvidersLegal Medicine