Provider Demographics
NPI:1316066160
Name:NGUYEN, TIFFNAY TRUNGTHU (DC)
Entity type:Individual
Prefix:DR
First Name:TIFFNAY
Middle Name:TRUNGTHU
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:TIFFANY
Other - Middle Name:TRUNGTHU
Other - Last Name:NGUYEN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LAC
Mailing Address - Street 1:1325 W GARVEY AVE N
Mailing Address - Street 2:
Mailing Address - City:WEST COVINA
Mailing Address - State:CA
Mailing Address - Zip Code:91790-2242
Mailing Address - Country:US
Mailing Address - Phone:626-960-8225
Mailing Address - Fax:626-960-8460
Practice Address - Street 1:1325 W GARVEY AVE N
Practice Address - Street 2:
Practice Address - City:WEST COVINA
Practice Address - State:CA
Practice Address - Zip Code:91790-2242
Practice Address - Country:US
Practice Address - Phone:626-960-8225
Practice Address - Fax:626-960-8460
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-29
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC27942111N00000X
CAAC9263171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered111N00000XChiropractic ProvidersChiropractor
Not Answered171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAV01191Medicare UPIN