Nong Group | |
3287 Mount Logan Dr San Jose CA 95127-4825 | |
(808) 391-8905 | |
Not Available |
Full Name | Nong Group |
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Speciality | Family Medicine |
Location | 3287 Mount Logan Dr, San Jose, California |
Authorized Official Name and Position | Nong Dang (MD) |
Authorized Official Contact | 8083918905 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Nong Group 3287 Mount Logan Dr San Jose CA 95127-4825 Ph: (808) 391-8905 | Nong Group 3287 Mount Logan Dr San Jose CA 95127-4825 Ph: (808) 391-8905 |
NPI Number | 1063110526 |
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Provider Enumeration Date | 02/23/2023 |
Last Update Date | 02/23/2023 |
Medicare PECOS PAC ID | 8820454978 |
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Medicare Enrollment ID | O20230516003301 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063110526 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Nicole T Vecchi |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1407882863 PECOS PAC ID: 7517946486 Enrollment ID: I20040714001534 |
Provider Name | Nong C Dang |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1891221008 PECOS PAC ID: 2163848342 Enrollment ID: I20200812000791 |
Provider Name | Linh Phuong Dao |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356943294 PECOS PAC ID: 6305294067 Enrollment ID: I20231120000792 |
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