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Organization
MAI-ANH CHTN NGUYEN, O.D., INC
Active
Organization
MAI-ANH CHTN NGUYEN, O.D., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAI-ANH CHTN NGUYEN OD (PRESIDENT/ OWNER)
(408) 238-4558
Entity
Organization
Contact information
Practice address
1661 BURDETTE DR STE H, SAN JOSE, CA 95121-1681
(408) 238-4558
(406) 238-4576
Mailing address
1661 BURDETTE DR STE H, SAN JOSE, CA 95121-1681
(408) 238-4558
(406) 238-4576
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
11482T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0114820
—
CA
Enumeration date
04/19/2018
Last updated
06/16/2018
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