Provider Demographics
NPI:1871566497
Name:NGUYEN, HELEN HANG (RPH)
Entity type:Individual
Prefix:
First Name:HELEN
Middle Name:HANG
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19564 SHADOW GLEN CIR
Mailing Address - Street 2:
Mailing Address - City:NORTHRIDGE
Mailing Address - State:CA
Mailing Address - Zip Code:91326-3828
Mailing Address - Country:US
Mailing Address - Phone:818-832-8574
Mailing Address - Fax:818-832-8574
Practice Address - Street 1:H100 SANTA MARGARITA RD
Practice Address - Street 2:CAMP PENDALTON NAVAL HOSPITAL
Practice Address - City:CAMP PENDLETON
Practice Address - State:CA
Practice Address - Zip Code:92055-5191
Practice Address - Country:US
Practice Address - Phone:760-725-1440
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV12594183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist