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Derek Cao Nguyen

Physical Therapist in Garden Grove, CA. Individual provider (NPI-1).

NPI number1194606558
StatusActive
Last updated in NPPESSep 10, 2025

Details

NPI
1194606558
Entity type
Individual (NPI-1)
Name
Derek Cao Nguyen
Sex
Male
Sole proprietor
Yes
Enumeration date
Sep 10, 2025
Certification date
Sep 10, 2025
Last updated
Sep 10, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist308577CAYes

Practice location

12372 Gamma St
Garden Grove, CA 92840-3549

Phone 657-944-9290

Mailing address

12372 Gamma St
Garden Grove, CA 92840-3549

Phone 657-944-9290

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