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CHRISTOPHER NGUYEN DO MD A PROFESSIONAL CORPORATION NPI 1043343650


NPI Information

NPI: 1043343650
Provider Name: CHRISTOPHER NGUYEN DO MD A PROFESSIONAL CORPORATION
Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 05D2204843

Address:
1569 LEXANN AVE
SUITE 206
SAN JOSE, CA
ZIP 95121
Phone: (408) 531-8808
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CHRISTOPHER NGUYEN DO MD A PROFESSIONAL CORPORATION is a specialist in San Jose, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. CHRISTOPHER NGUYEN DO MD A PROFESSIONAL CORPORATION NPI is 1043343650. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1569 LEXANN AVE
SUITE 206
SAN JOSE, CA
ZIP 95121-794
Phone: (408) 531-8808
Fax: (408) 531-8940

The provider's authorized official is Christopher Nguyen Do .
The authorized official title is President and has the following contact phone number (408) 531-8808.

The CLIA number assigned to this NPI record is 05D2204843 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/13/2007 and was last updated on 11/10/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistA62877CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1G60213MEDICARE UPINCALIFORNIA
200A628770MEDICAIDCALIFORNIA
3CX491AMEDICARE PINCALIFORNIA
41407876659OTHERCALIFORNIATYPE I NPI
500A628770MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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