Most Relevant Information
Provider Data
| NPI Number: | 1003635277 |
| Provider Name: | TAYLOR THANH-TAM NGUYEN PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | 1206297 |
Most Important Dates
| Enumeration Date: | 10/07/2024 |
| Last Updated: | 10/07/2024 |
Provider Practice Location
7595 WESTMINSTER BLVD
WESTMINSTER
CA
926833919
Practice Location Phone/Fax
| Phone: | 7146225482 |
| Fax: |
Provider Mailing Location
17260 SANTA LUCIA ST
FOUNTAIN VALLEY
CA
927083116
Provider Mailing Phone/Fax
| Phone: | 7147851999 |
| Fax: |