Provider Demographics
NPI:1265742894
Name:NGUYEN, JANE GIANG (PHARMD)
Entity type:Individual
Prefix:
First Name:JANE
Middle Name:GIANG
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:JANE
Other - Middle Name:GIANG
Other - Last Name:HWANG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARMD
Mailing Address - Street 1:4722 AMALFI ST
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:CA
Mailing Address - Zip Code:90630-3589
Mailing Address - Country:US
Mailing Address - Phone:714-220-8070
Mailing Address - Fax:
Practice Address - Street 1:12567 CARSON ST
Practice Address - Street 2:UNIT NUMBER 155-0601
Practice Address - City:HAWAIIAN GARDENS
Practice Address - State:CA
Practice Address - Zip Code:90716-1607
Practice Address - Country:US
Practice Address - Phone:714-220-8070
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-18
Last Update Date:2010-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA60794183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist