Provider Demographics
NPI:1154811677
Name:NGUYEN, HONGTRUC THI (DC)
Entity type:Individual
Prefix:MRS
First Name:HONGTRUC
Middle Name:THI
Last Name:NGUYEN
Suffix:
Gender:
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5150 FAIR OAKS BLVD
Mailing Address - Street 2:SUITE 104
Mailing Address - City:CARMICHAEL
Mailing Address - State:CA
Mailing Address - Zip Code:95608
Mailing Address - Country:US
Mailing Address - Phone:916-680-9989
Mailing Address - Fax:916-680-9977
Practice Address - Street 1:5150 FAIR OAKS BLVD STE 104
Practice Address - Street 2:
Practice Address - City:CARMICHAEL
Practice Address - State:CA
Practice Address - Zip Code:95608-5758
Practice Address - Country:US
Practice Address - Phone:916-680-9989
Practice Address - Fax:916-680-9977
Is Sole Proprietor?:No
Enumeration Date:2018-05-10
Last Update Date:2025-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA31881111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor