| Doctor Name: | ERIC DUY NGUYEN |
| NPI Number: | 1396162996 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MPT |
| License Number: | 41093 |
| Business Practice Address: | 12555 Lakewood Blvd Suite D Downey, CA - 902422771 |
| Business Phone Number: | 5629234704 |
| Business Fax Number: | 5629236709 |
| Mailing Address: | 200 Newport Center Dr, #213 NEWPORT BEACH |
| State: | CA |
| Postal Code: | 926607501 |
| Phone Number: | 9496441322 |
| Fax Number: | 9496440316 |
| NPI Enumeration Date: | 03/21/2014 |
| NPI Last Update Date: | 07/14/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 41093 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |