Individual provider · Type 1 NPI

Gia Han Ngoc Nguyen

Pediatric Nurse Practitioner · San Dimas, CA

NPI number 1114688876 Active

Practice location

1330 W Covina Blvd Ste 105106
San Dimas, CA 91773-3200

Mailing address

228 W Pomona Ave Unit 207
Monrovia, CA 91016-4829

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X95019533 (CA)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1114688876

Gia Han Ngoc Nguyen's National Provider Identifier is 1114688876, issued on Jan 5, 2022. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in San Dimas, CA. The record was last updated on Jan 5, 2022.