| Doctor Name: | MRS. STEPHANIE ANH-HANG NGUYEN |
| NPI Number: | 1114033388 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | D.O. |
| License Number: | 20A7978 |
| Business Practice Address: | 3102 E. Highland Avenue Medical Staff Office Patton, CA - 92369 |
| Business Phone Number: | 9094257679 |
| Business Fax Number: | 9094256635 |
| Mailing Address: | 3102 E. Highland Avenue, Medical Staff Office PATTON |
| State: | CA |
| Postal Code: | 92369 |
| Phone Number: | 9094257679 |
| Fax Number: | 9094256635 |
| NPI Enumeration Date: | 08/21/2006 |
| NPI Last Update Date: | 08/08/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207QA0505X |
| License Number: | 20A7978 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Family Medicine |
| Taxonomy Specialization: | Adult Medicine |
| Taxonomy Definition: | |