Most Relevant Information
Provider Data
| NPI Number: | 1003573049 |
| Provider Name: | CHAU MINH NGUYEN PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | 60063 |
Most Important Dates
| Enumeration Date: | 11/24/2021 |
| Last Updated: | 11/24/2021 |
Provider Practice Location
309 E 2ND ST
POMONA
CA
917661854
Practice Location Phone/Fax
| Phone: | 9518924858 |
| Fax: |
Provider Mailing Location
4305 ADAMS ST
RIVERSIDE
CA
925042403
Provider Mailing Phone/Fax
| Phone: | 9518924858 |
| Fax: |