Provider Demographics
NPI:1255228243
Name:NGUYEN, CHRISTINA (RDMS)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:RDMS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10361 LUDERS AVE
Mailing Address - Street 2:
Mailing Address - City:GARDEN GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:92843-3213
Mailing Address - Country:US
Mailing Address - Phone:714-653-8619
Mailing Address - Fax:
Practice Address - Street 1:10361 LUDERS AVE
Practice Address - Street 2:
Practice Address - City:GARDEN GROVE
Practice Address - State:CA
Practice Address - Zip Code:92843-3213
Practice Address - Country:US
Practice Address - Phone:714-653-8619
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-21
Last Update Date:2025-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA2785032471S1302X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471S1302XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistSonography