Most Relevant Information
Provider Data
| NPI Number: | 1003375502 |
| Provider Name: | PETER NGUYEN |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/14/2019 |
| Last Updated: | 06/11/2019 |
Provider Practice Location
12395 LEWIS ST STE 202
GARDEN GROVE
CA
928404694
Practice Location Phone/Fax
| Phone: | 7148676384 |
| Fax: |
Provider Mailing Location
2 FLAGSTONE APT 434
IRVINE
CA
926067674
Provider Mailing Phone/Fax
| Phone: | 9495371064 |
| Fax: |