Individual
MR. EDWARD ANDY NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C, MHS
Contact information
Practice address
750 WELCH RD STE 319, PALO ALTO, CA 94304-1510
(650) 498-5689
(650) 498-5690
Mailing address
3725 JASMINE CIR, SAN JOSE, CA 95135-2377
(408) 506-4943
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA55069
CA
Other
Enumeration date
01/03/2018
Last updated
01/03/2018
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