Organization
DR. QUEEN FAMILY MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
QUYNH QUEEN NGUYEN D.O. (OWCER)
(408) 274-6944
Entity
Organization
Contact information
Practice address
1675 BURDETTE DR STE 20, SAN JOSE, CA 95121-1667
(408) 274-6944
(408) 274-2258
Mailing address
1675 BURDETTE DR STE 20, SAN JOSE, CA 95121-1667
(408) 274-6944
(408) 274-2258
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
20A8237
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00AX82370
—
CA
Enumeration date
05/21/2015
Last updated
05/21/2015
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