| Thuy Tuong Nguyen Md Medical Corporation | |
|
200 Jose Figueres Ave Ste 395 San Jose CA 95116-1500 | |
| (408) 309-7454 | |
| Not Available |
| Full Name | Thuy Tuong Nguyen Md Medical Corporation |
|---|---|
| Speciality | Clinic/Center |
| Location | 200 Jose Figueres Ave, San Jose, California |
| Authorized Official Name and Position | Thuy T Nguyen (CEO) |
| Authorized Official Contact | 4083097454 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thuy Tuong Nguyen Md Medical Corporation 991 Montague Expy Ste 203 Milpitas CA 95035-6809 Ph: (408) 309-7454 | Thuy Tuong Nguyen Md Medical Corporation 200 Jose Figueres Ave Ste 395 San Jose CA 95116-1500 Ph: (408) 309-7454 |
| NPI Number | 1588056386 |
|---|---|
| Provider Enumeration Date | 03/03/2015 |
| Last Update Date | 03/03/2015 |
| Medicare PECOS PAC ID | 5294048641 |
|---|---|
| Medicare Enrollment ID | O20150714003268 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588056386 | NPI | - | NPPES |
| 00A937820 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | A93782 (California) | Primary |
| Provider Name | Thuy Tuong Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447362934 PECOS PAC ID: 5294735759 Enrollment ID: I20070105000465 |
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