Basic Information
Provider Information
NPI: 1114111267
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: NGUYEN
FirstName: BH FRANCES
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: D.C.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 927 N EUCLID ST
Address2:  
City: ANAHEIM
State: CA
PostalCode: 928013633
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 927 N EUCLID ST
Address2:  
City: ANAHEIM
State: CA
PostalCode: 928013633
CountryCode: US
TelephoneNumber: 7149917140
FaxNumber:  
Other Information
ProviderEnumerationDate: 08/31/2007
LastUpdateDate: 08/31/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
111N00000X25210CAY Chiropractic ProvidersChiropractor 

No ID Information.


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