Provider Demographics
NPI:1073817854
Name:NGUYEN, CHAU MINH
Entity Type:Individual
Prefix:MRS
First Name:CHAU
Middle Name:MINH
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:540 BONITA AVE.
Mailing Address - Street 2:#723
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95116-3318
Mailing Address - Country:US
Mailing Address - Phone:408-295-4877
Mailing Address - Fax:
Practice Address - Street 1:210 N. FOURTH STREET
Practice Address - Street 2:SUITE 203
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95112
Practice Address - Country:US
Practice Address - Phone:408-295-5288
Practice Address - Fax:408-292-1029
Is Sole Proprietor?:No
Enumeration Date:2011-01-07
Last Update Date:2011-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program