# NGAI NGUYEN, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Los Gatos Oaks Convalescent Hospital
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609820281
- **Authorized official:** MR. MANEESH BANSAL M.D. (CEO)
- **Authorized official phone:** (562) 924-9618

## Contact information

- **Practice address:** 16605 LARK AVENUE, LOS GATOS, CA 95032-7642
- **Practice address phone:** (408) 356-9146
- **Practice address fax:** (408) 358-2626
- **Mailing address:** 16605 LARK AVENUE, LOS GATOS, CA 95032-7642
- **Mailing address phone:** (408) 356-9146
- **Mailing address fax:** (408) 358-2626

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 070000060 | CA | — |
| 314000000X | Skilled Nursing Facility | — | CA | Yes |

## Other

- **Enumeration date:** 05/19/2006
- **Last updated:** 10/14/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | ZZR18425H | — | CA |