Provider Information for 1275995920
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
BAOTRAN AMANDA XUAN NGUYEN
Sex: Female
NPI: 1275995920
Last Updated: 2023-12-01
Certification Date: 2023-12-01
Certification Date: 2023-12-01
Details
Name | Value | ||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
NPI | 1275995920 | ||||||||||||||||
Enumeration Date | 2016-03-22 | ||||||||||||||||
NPI Type | NPI-1 Individual | ||||||||||||||||
Sole Proprietor | NO | ||||||||||||||||
Status | Active | ||||||||||||||||
Mailing Address | 1555 PARKMOOR AVE COUNSELING CENTER SAN JOSE, CA 95128 United States Phone: 408-282-0402 | Fax:405-282-0400 | ||||||||||||||||
Primary Practice Address | 1555 PARKMOOR AVE SAN JOSE, CA 95128-2407 United States Phone: 408-282-0402 | Fax:405-282-0400 | ||||||||||||||||
Secondary Practice Address(es) | 309 LENNON LN | ||||||||||||||||
Health Information Exchange |
| ||||||||||||||||
Other Identifiers |
| ||||||||||||||||
Taxonomy |
|