Organization Name: | MONIQUE M NGUYEN, OD, INC |
NPI Number: | 1376713123 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MONIQUE M NGUYEN (PRESIDENT) |
Mailing Address: | 777 Corporate Dr Ste 200 Ladera Ranch |
State: | CA US |
Postal Code: | 926942135 |
Phone Number: | 9493644455 |
Fax Number: | 9493644419 |
NPI Enumeration Date: | 03/07/2008 |
NPI Last Update Date: | 03/07/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 152WP0200X |
License Number: | 11931T |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Optometrist |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: | Optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children. |