Provider Demographics
NPI:1871694802
Name:NGUYEN, LAUREN NHUHA (MD)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:NHUHA
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3440 W. LOMITA BLVD. #352
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505
Mailing Address - Country:US
Mailing Address - Phone:310-626-6429
Mailing Address - Fax:310-539-0061
Practice Address - Street 1:3440 W. LOMITA BLVD. #352
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505
Practice Address - Country:US
Practice Address - Phone:310-626-6429
Practice Address - Fax:310-539-0061
Is Sole Proprietor?:No
Enumeration Date:2006-09-25
Last Update Date:2009-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA78747208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics