# EVERGREEN SLEEP CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659752798
- **Authorized official:** MR. TAM HOANG NGUYEN D.O. (CEO)
- **Authorized official phone:** (408) 258-5083

## Contact information

- **Practice address:** 2365 QUIMBY RD, SUITE 210, SAN JOSE, CA 95122-1337
- **Practice address phone:** (408) 258-5083
- **Practice address fax:** (408) 258-4347
- **Mailing address:** 2110 MCKEE ROAD, SAN JOSE, CA 95116-1427
- **Mailing address phone:** (408) 258-5083
- **Mailing address fax:** (408) 258-4347

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | — | NULL | Yes |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/15/2015
- **Last updated:** 04/28/2017