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Organization
MD24 SJ, INC.
Active
Organization
MD24 SJ, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LINH CAO NGUYEN MD (CEO)
(623) 374-7774
Entity
Organization
Contact information
Practice address
200 JOSE FIGUERES AVE STE 180, SAN JOSE, CA 95116-1586
(623) 374-7774
Mailing address
PLAZA TOWER I 600 ANTON BLVD,, SUITE 1100,, COSTA MESA, CA 92626
(623) 374-7774
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/25/2018
Last updated
05/09/2019
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