Provider Demographics
NPI:1326230749
Name:NGUYEN, SANH VAN (DO)
Entity Type:Individual
Prefix:DR
First Name:SANH
Middle Name:VAN
Last Name:NGUYEN
Suffix:
Gender:M
Credentials:DO
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Other - Credentials:
Mailing Address - Street 1:4484 ENGLISH ELM ST
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95834-2484
Mailing Address - Country:US
Mailing Address - Phone:916-601-4706
Mailing Address - Fax:916-290-0450
Practice Address - Street 1:900 HOWE AVE STE 230
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95825-3941
Practice Address - Country:US
Practice Address - Phone:916-601-4706
Practice Address - Fax:916-290-0450
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-10
Last Update Date:2023-05-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA20A156632084P0800X
CO491372084P0800X
CO23012084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry