Individual
MS. DAN THANH NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
170 ALAMEDA DE LAS PULGAS, REDWOOD CITY, CA 94062-2751
(650) 367-5636
(650) 367-5110
Mailing address
170 ALAMEDA DE LAS PULGAS, REDWOOD CITY, CA 94062-2751
(650) 367-5636
(650) 367-5110
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA20064
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA053212
MEDICAL LICENSE
PA
01
—
PA20064
CALIFORNIA LICENSE
CA
Enumeration date
03/03/2008
Last updated
01/03/2022
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