Primary Plus Medical Clinic, Professional Corporation | |
200 Jose Figueres Ave Ste 170 San Jose CA 95116-1586 | |
(408) 258-5083 | |
Not Available |
Full Name | Primary Plus Medical Clinic, Professional Corporation |
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Speciality | Internal Medicine |
Location | 200 Jose Figueres Ave Ste 170, San Jose, California |
Authorized Official Name and Position | Tam Hoang Nguyen (PRESIDENT) |
Authorized Official Contact | 4082585083 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Primary Plus Medical Clinic, Professional Corporation 4945 Palemetto Dunes Ct San Jose CA 95138-2131 Ph: (408) 258-5083 | Primary Plus Medical Clinic, Professional Corporation 200 Jose Figueres Ave Ste 170 San Jose CA 95116-1586 Ph: (408) 258-5083 |
NPI Number | 1225804735 |
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Provider Enumeration Date | 11/27/2023 |
Last Update Date | 11/27/2023 |
Medicare PECOS PAC ID | 5698114742 |
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Medicare Enrollment ID | O20240422002944 |
Identifier | Type | State | Issuer |
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1225804735 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Anthony Tran |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1780093658 PECOS PAC ID: 7214319938 Enrollment ID: I20220727003903 |
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