Most Relevant Information
Provider Data
| NPI Number: | 1003377250 |
| Provider Name: | PETER NGUYEN |
| Entity Type: | Individual |
| Taxonomy Code: | 163WE0003X |
| Specialty: | Registered Nurse |
| License Number: | 810741 |
Most Important Dates
| Enumeration Date: | 03/29/2019 |
| Last Updated: | 03/29/2019 |
Provider Practice Location
405 W 5TH ST
SANTA ANA
CA
927014599
Practice Location Phone/Fax
| Phone: | 7148342217 |
| Fax: |
Provider Mailing Location
405 W 5TH ST
SANTA ANA
CA
927014599
Provider Mailing Phone/Fax
| Phone: | 7148342217 |
| Fax: |