Thao Nguyen, | |
16040 Harbor Blvd Ste G, Fountain Valley, CA 92708-1327 | |
(714) 531-7930 | |
(714) 531-7997 |
Full Name | Thao Nguyen |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 16040 Harbor Blvd Ste G, Fountain Valley, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932666955 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | F02190750 (California) | Primary |
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Mailing Address | Practice Location Address |
---|---|
Thao Nguyen, 9632 Rosebay St, Anaheim, CA 92804-3436 Ph: (408) 375-2131 | Thao Nguyen, 16040 Harbor Blvd Ste G, Fountain Valley, CA 92708-1327 Ph: (714) 531-7930 |
Leah Haddad, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11180 Warner Ave Ste 351, Fountain Valley, CA 92708 Phone: 714-698-0300 | |
Kerry E Wood, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 18111 Brookhurst St Ste 5100, Fountain Valley, CA 92708 Phone: 714-546-2238 Fax: 714-434-8145 | |
Mrs. Tran Chau, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9920 Talbert Ave, Fountain Valley, CA 92708 Phone: 714-378-7428 Fax: 714-378-7474 | |
Dr. Timothy Franklin Horttor, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 18111 Brookhurst St, Fountain Valley, CA 92708 Phone: 714-378-7000 | |
Kelsey Vy Ngole, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 16040 Harbor Blvd Ste G, Fountain Valley, CA 92708 Phone: 714-531-7930 | |
Joee Quyen Truong, R.N Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 17100 Euclid St, Fountain Valley, CA 92708 Phone: 714-966-7200 | |
Karen Truong-fahman, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 17390 Brookhurst St Ste 350, Fountain Valley, CA 92708 Phone: 714-463-5189 |