Most Relevant Information
Provider Data
| NPI Number: | 1003318270 |
| Provider Name: | HENRY NGOC NGUYEN |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | 11153 |
Most Important Dates
| Enumeration Date: | 03/05/2018 |
| Last Updated: | 01/03/2022 |
Provider Practice Location
6116 MEDAU PL
OAKLAND
CA
946112809
Practice Location Phone/Fax
| Phone: | 5103392116 |
| Fax: |
Provider Mailing Location
1534 21ST AVE
OAKLAND
CA
946064942
Provider Mailing Phone/Fax
| Phone: | 5109193940 |
| Fax: |