Individual
AMANDA VANG SINWONGSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
1870 SENTER RD, SAN JOSE, CA 95112-2528
(669) 287-8146
Mailing address
1870 SENTER RD, SAN JOSE, CA 95112-2528
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
CA
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
04/23/2026
Last updated
05/06/2026
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