1053463653 NPI number — DR. CHI LIEU NGUYEN PHARM.D.

Table of content: DR. CHI LIEU NGUYEN PHARM.D. (NPI 1053463653)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1053463653 NPI number — DR. CHI LIEU NGUYEN PHARM.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
NGUYEN
Provider First Name:
CHI
Provider Middle Name:
LIEU
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
PHARM.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1053463653
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/20/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5026 FRUITRIDGE RD STE 3
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SACRAMENTO
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
95820-5302
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
916-469-9813
Provider Business Mailing Address Fax Number:
916-469-9874

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5026 FRUITRIDGE RD STE 3
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SACRAMENTO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95820-5302
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
916-469-9813
Provider Business Practice Location Address Fax Number:
916-469-9874
Provider Enumeration Date:
01/17/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1835G0303X , with the licence number:  RPH46977 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 3336C0003X , with the licence number: 51051 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 502451 , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".
  • Identifier: PHA441890 . This is a "MEDI-CAL NUMBER" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: 680366467 . This is a "FEDERAL STATE ID" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".