DR. QUEEN FAMILY MEDICINE NPI 1710366828

NPI Information

NPI: 1710366828
Provider Name: DR. QUEEN FAMILY MEDICINE
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
1675 BURDETTE DR STE 20
SAN JOSE, CA
ZIP 95121
Phone: (408) 274-6944
Get Directions

DR. QUEEN FAMILY MEDICINE is a health service clinic center in San Jose, CA. DR. QUEEN FAMILY MEDICINE NPI is 1710366828. The provider is registered as an organization entity type.

The provider's business location address is:

1675 BURDETTE DR STE 20
SAN JOSE, CA
ZIP 95121-667
Phone: (408) 274-6944
Fax: (408) 274-2258

The provider's authorized official is Quynh Queen Nguyen .
The authorized official title is Owcer and has the following contact phone number (408) 274-6944.

The enumeration date for this NPI number is 5/21/2015 and was last updated on 5/21/2015.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QH0100X	Clinic/Center	Health Service	20A8237	CALIFORNIA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00AX82370	MEDICAID	CALIFORNIA
2	H93930	MEDICARE UPIN

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

NPI Synchronization or Removal

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