Nguyen, Laura

Nguyen, Laura is an individual health care provider with primary practice located at 444 S Waterman Ave , San Bernardino CA 92408-1518. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Nguyen, Laura can be contacted via phone (909) 890-0015.

Contact Information

Primary practice address
444 S Waterman Ave San Bernardino CA 92408-1518
Phone: (909) 890-0015
Fax: (909) 890-0323
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 10794T California

Profile Details

NPI number 1952336927
LBN Legal business name Nguyen, Laura
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated Jun 4th, 2020 - about 4 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 1952336927 NPPES
California MEDICAID SD0107940

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