Organization
NGAI NGUYEN, INC.
Active
Other names
Los Gatos Oaks Convalescent Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MANEESH BANSAL M.D. (CEO)
(562) 924-9618
Entity
Organization
Contact information
Practice address
16605 LARK AVENUE, LOS GATOS, CA 95032-7642
(408) 356-9146
(408) 358-2626
Mailing address
16605 LARK AVENUE, LOS GATOS, CA 95032-7642
(408) 356-9146
(408) 358-2626
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
070000060
CA
314000000X
Skilled Nursing Facility
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZR18425H
—
CA
Enumeration date
05/19/2006
Last updated
10/14/2015
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