| Hp Family Medical Clinic | |
|
1692 Tully Rd Suite # 10 San Jose CA 95122-2549 | |
| (408) 531-8572 | |
| (408) 531-8574 |
| Full Name | Hp Family Medical Clinic |
|---|---|
| Speciality | Internal Medicine |
| Location | 1692 Tully Rd, San Jose, California |
| Authorized Official Name and Position | Hanh My Nguyen (PRESIDENT) |
| Authorized Official Contact | 4085318572 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hp Family Medical Clinic Po Box 21850 San Jose CA 95151-1850 Ph: (408) 531-8572 | Hp Family Medical Clinic 1692 Tully Rd Suite # 10 San Jose CA 95122-2549 Ph: (408) 531-8572 |
| NPI Number | 1518922061 |
|---|---|
| Provider Enumeration Date | 04/19/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 2769506880 |
|---|---|
| Medicare Enrollment ID | O20100826000376 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518922061 | NPI | - | NPPES |
| GR0095370 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Hanh Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730144437 PECOS PAC ID: 6406970524 Enrollment ID: I20100826000871 |
| Provider Name | Phuc Cao Dang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457316150 PECOS PAC ID: 8729102884 Enrollment ID: I20100826000995 |
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