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Organization

PREMIER CARE IPA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TUYEN NGO MD (PHYSICAL MEDICINE & REHAB)
(408) 258-3229
Entity
Organization

Contact information

Practice address
1865 ALUM ROCK AVE STE A, SAN JOSE, CA 95116-1396
(408) 258-3229
(408) 258-3422
Mailing address
1865 ALUM ROCK AVE STE A, SAN JOSE, CA 95116-1396

Taxonomy

Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary

Other

Enumeration date
07/11/2008
Last updated
07/11/2008
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