Provider Demographics
NPI:1427327386
Name:NGUYEN, ANDREW HOAI (PHARMD)
Entity type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:HOAI
Last Name:NGUYEN
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12505 BEACH BLVD STE A2
Mailing Address - Street 2:
Mailing Address - City:STANTON
Mailing Address - State:CA
Mailing Address - Zip Code:90680-4020
Mailing Address - Country:US
Mailing Address - Phone:714-584-9599
Mailing Address - Fax:714-248-9115
Practice Address - Street 1:12505 BEACH BLVD STE A2
Practice Address - Street 2:
Practice Address - City:STANTON
Practice Address - State:CA
Practice Address - Zip Code:90680-4020
Practice Address - Country:US
Practice Address - Phone:714-584-9599
Practice Address - Fax:714-248-9115
Is Sole Proprietor?:No
Enumeration Date:2011-12-22
Last Update Date:2022-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA56288183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA18350000OtherPHARMACY SERVICE