Provider Demographics
NPI:1366579765
Name:NGUYEN, LINDA THANH (DC)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:THANH
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1836 W 182ND ST
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90504-4402
Mailing Address - Country:US
Mailing Address - Phone:310-329-7777
Mailing Address - Fax:310-329-5243
Practice Address - Street 1:1836 W 182ND ST
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90504-4402
Practice Address - Country:US
Practice Address - Phone:310-329-7777
Practice Address - Fax:310-329-5243
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-27
Last Update Date:2010-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC24830111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor