| Tinny Quynh Dohn, D.o., Inc. | |
|
14589 Los Gatos Blvd Los Gatos CA 95032-7663 | |
| (408) 356-8672 | |
| (408) 356-7004 |
| Full Name | Tinny Quynh Dohn, D.o., Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 14589 Los Gatos Blvd, Los Gatos, California |
| Authorized Official Name and Position | Tinny Quynhthoa Dohn (PRESIDENT) |
| Authorized Official Contact | 4083568672 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tinny Quynh Dohn, D.o., Inc. 5170 Felter Rd San Jose CA 95132-3403 Ph: (408) 356-8672 | Tinny Quynh Dohn, D.o., Inc. 14589 Los Gatos Blvd Los Gatos CA 95032-7663 Ph: (408) 356-8672 |
| NPI Number | 1720261506 |
|---|---|
| Provider Enumeration Date | 12/14/2007 |
| Last Update Date | 02/22/2013 |
| Medicare PECOS PAC ID | 1759467343 |
|---|---|
| Medicare Enrollment ID | O20080324000351 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720261506 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 20A8202 (California) | Primary |
| Provider Name | Tinny Q Dohn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710901285 PECOS PAC ID: 4587740170 Enrollment ID: I20080324000338 |
| Provider Name | Anh T Huynh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851884381 PECOS PAC ID: 3375889835 Enrollment ID: I20190104001219 |
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