Individual
KHOA DANG NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
555 STEVENSON ST, SAN FRANCISCO, CA 94103-1606
(510) 899-3717
Mailing address
1282 MARKET ST, SAN FRANCISCO, CA 94102-4801
(510) 899-3717
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-QCRZBG
CA
175T00000X
Peer Specialist
—
CA
373H00000X
Day Training/Habilitation Specialist
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/04/2021
Last updated
07/22/2026
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