Provider Demographics
NPI:1376356360
Name:KHUYEN NGUYEN PC DBA THE GLEAMERY
Entity type:Organization
Organization Name:KHUYEN NGUYEN PC DBA THE GLEAMERY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:STUDIO MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:ESCOBAR
Authorized Official - Suffix:IV
Authorized Official - Credentials:
Authorized Official - Phone:213-326-1789
Mailing Address - Street 1:7617 SANTA MONICA BLVD STE 60
Mailing Address - Street 2:
Mailing Address - City:WEST HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90046-2324
Mailing Address - Country:US
Mailing Address - Phone:213-326-1789
Mailing Address - Fax:
Practice Address - Street 1:7617 SANTA MONICA BLVD STE 60
Practice Address - Street 2:
Practice Address - City:WEST HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:90046-2324
Practice Address - Country:US
Practice Address - Phone:213-326-1789
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GLEAMERY INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-01-31
Last Update Date:2025-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty