Provider Demographics
NPI:1174394720
Name:PAT H. NGUYEN, O.D., INC.
Entity type:Organization
Organization Name:PAT H. NGUYEN, O.D., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:PAT
Authorized Official - Middle Name:HONG
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:818-893-3132
Mailing Address - Street 1:326 WESTMINSTER AVE APT 303
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90020-4699
Mailing Address - Country:US
Mailing Address - Phone:818-893-3132
Mailing Address - Fax:818-893-4293
Practice Address - Street 1:8333 VAN NUYS BLVD
Practice Address - Street 2:
Practice Address - City:PANORAMA CITY
Practice Address - State:CA
Practice Address - Zip Code:91402-3607
Practice Address - Country:US
Practice Address - Phone:818-893-3132
Practice Address - Fax:818-893-4293
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-12
Last Update Date:2024-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty