Nguyen, Khac Quy T

Nguyen, Khac Quy T is an individual health care provider with primary practice located at 18302 Irvine Blvd Ste 300 , Tustin CA 92780-3437. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Nguyen, Khac Quy T can be contacted via phone (714) 957-1004.

Contact Information

Primary practice address
18302 Irvine Blvd Ste 300 Tustin CA 92780-3437
Phone: (714) 957-1004
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1225281280
LBN Legal business name Nguyen, Khac Quy T
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2008
Last updated Apr 17th, 2013 - about 11 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 1225281280 NPPES
California Other 33086 ASW

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