Provider Demographics
NPI:1285761098
Name:NGUYEN, CHRISTOPHER CUONG (LAC, PHD)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:CUONG
Last Name:NGUYEN
Suffix:
Gender:M
Credentials:LAC, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:12059 SYCAMORE LN
Mailing Address - Street 2:
Mailing Address - City:GARDEN GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:92843-1665
Mailing Address - Country:US
Mailing Address - Phone:714-636-7641
Mailing Address - Fax:714-636-7641
Practice Address - Street 1:217 EL CAMINO REAL
Practice Address - Street 2:SUITE C
Practice Address - City:TUSTIN
Practice Address - State:CA
Practice Address - Zip Code:92780-3603
Practice Address - Country:US
Practice Address - Phone:714-544-1500
Practice Address - Fax:714-544-1538
Is Sole Proprietor?:No
Enumeration Date:2007-02-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC 8084171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist