Provider Demographics
NPI:1801969845
Name:NGUYEN, KATHY HUONG (PHARMD)
Entity type:Individual
Prefix:DR
First Name:KATHY
Middle Name:HUONG
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4507 EL CAPITAN PL
Mailing Address - Street 2:
Mailing Address - City:CAMARILLO
Mailing Address - State:CA
Mailing Address - Zip Code:93012-0965
Mailing Address - Country:US
Mailing Address - Phone:805-384-8019
Mailing Address - Fax:
Practice Address - Street 1:20700 VENTURA BLVD STE 300
Practice Address - Street 2:KAISER PERMANENTE
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91364-6270
Practice Address - Country:US
Practice Address - Phone:818-592-2435
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-16
Last Update Date:2008-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA562251835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy