| Twg Medical Can | |
|
340 Dardanelli Ln Ste 24 Los Gatos CA 95032-1418 | |
| (408) 378-8648 | |
| Not Available |
| Full Name | Twg Medical Can |
|---|---|
| Speciality | Clinic/Center |
| Location | 340 Dardanelli Ln Ste 24, Los Gatos, California |
| Authorized Official Name and Position | Tien Trinh (OWNER/PRESIDENT) |
| Authorized Official Contact | 6508885728 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Twg Medical Can 1627 Hill Top View Ter San Jose CA 95138-2710 Ph: (408) 809-7525 | Twg Medical Can 340 Dardanelli Ln Ste 24 Los Gatos CA 95032-1418 Ph: (408) 378-8648 |
| NPI Number | 1730886235 |
|---|---|
| Provider Enumeration Date | 02/14/2023 |
| Last Update Date | 02/14/2023 |
| Medicare PECOS PAC ID | 0345607206 |
|---|---|
| Medicare Enrollment ID | O20230607003402 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730886235 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Tien Trinh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881791135 PECOS PAC ID: 5890753826 Enrollment ID: I20041222000421 |
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