05D0713729 CLIA NUMBER - VY CHI NGUYEN MD

Laboratory Demographics

CLIA Number: 05D0713729

Facility Name: VY CHI NGUYEN MD

Facility Address:
10161 BOLSA AVE STE C202-203
WESTMINSTER, CA
ZIP 92683
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Facility Phone Number: 714 775-2222

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1639489560

Taxonomy: 208D00000X - General Practice
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

CLIA Record

Field Name	Field Value
CLIA Number	05D0713729
LAB Type	Physician Office
Facility Name	VY CHI NGUYEN MD
Street	10161 BOLSA AVE STE C202-203
City	WESTMINSTER
State	CA
ZIP	92683
Phone	714 775-2222
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024