| Tung T. Nguyen, D.o., Inc. | |
|
621 Tully Rd Suite A 105 San Jose CA 95111-1013 | |
| (408) 279-2988 | |
| Not Available |
| Full Name | Tung T. Nguyen, D.o., Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 621 Tully Rd, San Jose, California |
| Authorized Official Name and Position | Tung Thanh Nguyen (OWNER/PRESIDENT) |
| Authorized Official Contact | 4082792988 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tung T. Nguyen, D.o., Inc. 621 Tully Rd Suite A 105 San Jose CA 95111-1013 Ph: (408) 279-2988 | Tung T. Nguyen, D.o., Inc. 621 Tully Rd Suite A 105 San Jose CA 95111-1013 Ph: (408) 279-2988 |
| NPI Number | 1558531962 |
|---|---|
| Provider Enumeration Date | 03/03/2008 |
| Last Update Date | 03/03/2008 |
| Medicare PECOS PAC ID | 8820173446 |
|---|---|
| Medicare Enrollment ID | O20080306000577 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558531962 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 20A8238 (California) | Primary |
| Provider Name | Tung T Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013982024 PECOS PAC ID: 3375634975 Enrollment ID: I20070810000813 |
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