Provider Demographics
NPI:1144779265
Name:SILICON VALLEY INFUSION CENTER
Entity Type:Organization
Organization Name:SILICON VALLEY INFUSION CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO / PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:TAM
Authorized Official - Middle Name:HOANG
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:408-258-5083
Mailing Address - Street 1:2110 MCKEE RD
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95116-1427
Mailing Address - Country:US
Mailing Address - Phone:408-258-5083
Mailing Address - Fax:408-258-4347
Practice Address - Street 1:200 JOSE FIGUERES AVE
Practice Address - Street 2:SUITE 103
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95116-1500
Practice Address - Country:US
Practice Address - Phone:408-258-5083
Practice Address - Fax:408-258-4347
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-30
Last Update Date:2016-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QI0500XAmbulatory Health Care FacilitiesClinic/CenterInfusion Therapy