Provider Demographics
NPI:1295094175
Name:NGUYEN, ANNE (DC)
Entity type:Individual
Prefix:
First Name:ANNE
Middle Name:
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5911 HEIL AVE
Mailing Address - Street 2:SUITE E
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92649-3752
Mailing Address - Country:US
Mailing Address - Phone:714-840-1744
Mailing Address - Fax:714-840-4569
Practice Address - Street 1:5911 HEIL AVE
Practice Address - Street 2:SUITE E
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92649-3752
Practice Address - Country:US
Practice Address - Phone:714-840-1744
Practice Address - Fax:714-840-4569
Is Sole Proprietor?:No
Enumeration Date:2012-05-11
Last Update Date:2012-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA32248111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor