Provider Demographics
NPI:1285499756
Name:NGUYEN, JASMINE DUYEN ANH (DC)
Entity type:Individual
Prefix:DR
First Name:JASMINE
Middle Name:DUYEN ANH
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22965 OAKSTONE
Mailing Address - Street 2:
Mailing Address - City:MISSION VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92692-1663
Mailing Address - Country:US
Mailing Address - Phone:949-878-2496
Mailing Address - Fax:
Practice Address - Street 1:22965 OAKSTONE
Practice Address - Street 2:
Practice Address - City:MISSION VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92692-1663
Practice Address - Country:US
Practice Address - Phone:949-878-2496
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-14
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA986006111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor