| Valley Advantage Medical Group Inc | |
|
2365 Quimby Road Suite 160 San Jose CA 95122-1337 | |
| (408) 550-2750 | |
| (408) 550-2755 |
| Full Name | Valley Advantage Medical Group Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2365 Quimby Road, 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 |
|---|---|
| Valley Advantage Medical Group Inc 4945 Palemetto Dunes Ct San Jose CA 95138-2131 Ph: (408) 258-5083 | Valley Advantage Medical Group Inc 2365 Quimby Road Suite 160 San Jose CA 95122-1337 Ph: (408) 550-2750 |
| NPI Number | 1215445291 |
|---|---|
| Provider Enumeration Date | 01/12/2018 |
| Last Update Date | 11/15/2021 |
| Medicare PECOS PAC ID | 5890183131 |
|---|---|
| Medicare Enrollment ID | O20211019002669 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215445291 | NPI | - | NPPES |
| Provider Name | Tam H Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962520478 PECOS PAC ID: 7315048006 Enrollment ID: I20070725000300 |
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