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Organization
EVERGREEN SLEEP CENTER
Active
Organization
EVERGREEN SLEEP CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TAM HOANG NGUYEN D.O. (CEO)
(408) 258-5083
Entity
Organization
Contact information
Practice address
2365 QUIMBY RD, SUITE 210, SAN JOSE, CA 95122-1337
(408) 258-5083
(408) 258-4347
Mailing address
2110 MCKEE ROAD, SAN JOSE, CA 95116-1427
(408) 258-5083
(408) 258-4347
Taxonomy
Speciality
Code
Description
License number
State
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
—
NULL
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
06/15/2015
Last updated
04/28/2017
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