Provider Demographics
NPI:1467741728
Name:NGUYEN, LENA B (DO)
Entity type:Individual
Prefix:
First Name:LENA
Middle Name:B
Last Name:NGUYEN
Suffix:
Gender:
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18035 BROOKHURST ST STE 2100
Mailing Address - Street 2:
Mailing Address - City:FOUNTAIN VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92708-6738
Mailing Address - Country:US
Mailing Address - Phone:657-241-9090
Mailing Address - Fax:714-665-4603
Practice Address - Street 1:18035 BROOKHURST ST STE 2100
Practice Address - Street 2:
Practice Address - City:FOUNTAIN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92708-6738
Practice Address - Country:US
Practice Address - Phone:657-241-9090
Practice Address - Fax:714-665-4603
Is Sole Proprietor?:No
Enumeration Date:2011-04-06
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A13833207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology