| Joann Nguyen, M.d., Inc | |
|
652 E Santa Clara St San Jose CA 95112-1931 | |
| (408) 858-6150 | |
| Not Available |
| Full Name | Joann Nguyen, M.d., Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 652 E Santa Clara St, San Jose, California |
| Authorized Official Name and Position | Joann Nguyen (PRESIDENT) |
| Authorized Official Contact | 4088586150 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Joann Nguyen, M.d., Inc 652 E Santa Clara St San Jose CA 95112-1931 Ph: () - | Joann Nguyen, M.d., Inc 652 E Santa Clara St San Jose CA 95112-1931 Ph: (408) 858-6150 |
| NPI Number | 1932566494 |
|---|---|
| Provider Enumeration Date | 01/28/2016 |
| Last Update Date | 03/25/2016 |
| Medicare PECOS PAC ID | 0648578146 |
|---|---|
| Medicare Enrollment ID | O20160418000827 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932566494 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A122870 (California) | Primary |
| Provider Name | Joann Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205177854 PECOS PAC ID: 7113166737 Enrollment ID: I20130611000757 |
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