Individual
DR. CHISTOPHER NGUYEN DO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1569 LEXANN AVENUE, SUITE 206, SAN JOSE, CA 95121
(408) 531-8808
(408) 531-8940
Mailing address
1569 LEXANN AVENUE, SUITE 206, SAN JOSE, CA 95121
(408) 531-8808
(408) 531-8940
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
00A628770
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A628770
—
CA
01
—
05D0934276
CLIA NUMBER
CA
01
—
1043343650
CORPORATE NPI
CA
Enumeration date
07/20/2006
Last updated
04/28/2014
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