Nguyen, Mai Huong Thi
Nguyen, Mai Huong Thi is an individual health care provider with primary practice located at 13202 Harbor Blvd , Garden Grove CA 92843-1737. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Nguyen, Mai Huong Thi can be contacted via phone (714) 534-3100.Contact Information
Primary practice address
13202 Harbor Blvd
Garden Grove CA 92843-1737
Phone: (714) 534-3100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | CA10388T | California |
Profile Details
| NPI number | 1811050768 |
|---|---|
| LBN Legal business name | Nguyen, Mai Huong Thi |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 19th, 2006 |
| Last updated | May 19th, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811050768 | NPPES |
| California | MEDICAID | SD0103880 |
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