Individual
MRS. NGOCLIEN THI NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
1569 LEXANN AVE STE 120, SAN JOSE, CA 95121-1794
(408) 270-4267
(408) 270-3594
Mailing address
1569 LEXANN AVE STE 120, SAN JOSE, CA 95121-1794
(408) 726-1382
(408) 270-3594
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
14620
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14620
PHYSICIAN ASSISTANT BOARD
CA
Enumeration date
03/04/2015
Last updated
06/11/2020
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