Nguyen, Henry

Nguyen, Henry is an sole proprietor health care provider with primary practice located at 23080 Alessandro Blvd Suite# 206, Moreno Valley CA 92553-9673. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Nguyen, Henry can be contacted via phone (951) 656-3693.

Contact Information

Primary practice address
23080 Alessandro Blvd Suite# 206 Moreno Valley CA 92553-9673
Fax: (951) 656-3825
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 11717T California

Profile Details

NPI number 1740202746
LBN Legal business name Nguyen, Henry
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 25th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740202746 NPPES
California MEDICAID SD0117171

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