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Organization
KARL P. NGUYEN, M.D., INC
Active
Organization
KARL P. NGUYEN, M.D., INC
Active
Other names
SOUTH BAY IMAGING CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KARL PHUC NGUYEN M.D. (PRESIDENT)
(408) 923-9283
Entity
Organization
Contact information
Practice address
1695 ALUM ROCK AVE STE 3, SAN JOSE, CA 95116-2445
(408) 923-9283
(408) 923-9286
Mailing address
PO BOX 612590, SAN JOSE, CA 95161-2590
(408) 923-9283
(408) 923-9286
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
A53253
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A532530
—
CA
Enumeration date
08/10/2006
Last updated
08/22/2020
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