Organization
NGUYEN KY DPM, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NGUYEN KY DPM (PRESIDENT)
(408) 292-2485
Entity
Organization
Contact information
Practice address
660 E SANTA CLARA ST, SAN JOSE, CA 95112-1931
(408) 292-2485
(408) 292-3330
Mailing address
660 E SANTA CLARA ST, SAN JOSE, CA 95112-1931
(408) 292-2485
(408) 292-3330
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E4689
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000E46890
—
CA
Enumeration date
03/31/2008
Last updated
10/06/2008
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