| An Ngoc To Md Inc | |
|
87 N 6th St San Jose CA 95112-5423 | |
| (408) 279-1180 | |
| (408) 279-6745 |
| Full Name | An Ngoc To Md Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 87 N 6th St, San Jose, California |
| Authorized Official Name and Position | An N To (DOCTOR) |
| Authorized Official Contact | 4082791180 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| An Ngoc To Md Inc 87 N 6th St San Jose CA 95112-5423 Ph: (408) 279-1180 | An Ngoc To Md Inc 87 N 6th St San Jose CA 95112-5423 Ph: (408) 279-1180 |
| NPI Number | 1700027216 |
|---|---|
| Provider Enumeration Date | 03/12/2009 |
| Last Update Date | 02/02/2023 |
| Medicare PECOS PAC ID | 6002964822 |
|---|---|
| Medicare Enrollment ID | O20090506000087 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700027216 | NPI | - | NPPES |
| 4805916 | Medicaid | CA | |
| A28072 | Other | CA | MEDICARE UPIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A363990 (California) | Primary |
| Provider Name | Rick Minh Luan Ngoc To |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194756858 PECOS PAC ID: 8325053093 Enrollment ID: I20060216000334 |
| Provider Name | An N To |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972528016 PECOS PAC ID: 4688722499 Enrollment ID: I20090506000069 |
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