| Mccarthy Medical Center, Inc | |
|
246 Ranch Dr Milpitas CA 95035-5107 | |
| (408) 263-9936 | |
| (408) 263-9926 |
| Full Name | Mccarthy Medical Center, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 246 Ranch Dr, Milpitas, California |
| Authorized Official Name and Position | Trang D. Nguyen (OWNER) |
| Authorized Official Contact | 4082639936 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mccarthy Medical Center, Inc 246 Ranch Dr Milpitas CA 95035-5107 Ph: (408) 263-9936 | Mccarthy Medical Center, Inc 246 Ranch Dr Milpitas CA 95035-5107 Ph: (408) 263-9936 |
| NPI Number | 1124224738 |
|---|---|
| Provider Enumeration Date | 06/22/2007 |
| Last Update Date | 06/23/2017 |
| Medicare PECOS PAC ID | 3476599465 |
|---|---|
| Medicare Enrollment ID | O20050629001129 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124224738 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | G077716 (California) | Primary |
| Provider Name | Trang Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053324459 PECOS PAC ID: 7911174859 Enrollment ID: I20120120000885 |
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