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Organization

VALLEY ADVANTAGE MEDICAL GROUP INC

Active
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Organization

VALLEY ADVANTAGE MEDICAL GROUP INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. TAM HOANG NGUYEN D.O. (PRESIDENT)
(408) 258-5083
Entity
Organization

Contact information

Practice address
2365 QUIMBY ROAD, SUITE 160, SAN JOSE, CA 95122-1337
(408) 550-2750
(408) 550-2755
Mailing address
4945 PALEMETTO DUNES CT, SAN JOSE, CA 95138-2131
(408) 258-5083
(408) 258-4347

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
207R00000X
Internal Medicine Physician
Primary
302R00000X
Health Maintenance Organization
CA

Other

Enumeration date
01/12/2018
Last updated
11/15/2021
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