Provider Demographics
NPI:1366584203
Name:NGUYEN, HARVEY HANH (MD)
Entity type:Individual
Prefix:DR
First Name:HARVEY
Middle Name:HANH
Last Name:NGUYEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10451 BOLSA AVE STE 215
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CA
Mailing Address - Zip Code:92683-6785
Mailing Address - Country:US
Mailing Address - Phone:714-775-0577
Mailing Address - Fax:714-210-0650
Practice Address - Street 1:10451 BOLSA AVE STE 215
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CA
Practice Address - Zip Code:92683-6785
Practice Address - Country:US
Practice Address - Phone:714-775-0577
Practice Address - Fax:714-210-0650
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA37498207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine