Provider Demographics
NPI:1508616541
Name:NGUYEN, LINH VIET THUY (RD)
Entity Type:Individual
Prefix:MISS
First Name:LINH
Middle Name:VIET THUY
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2430 FUTAMASE CT
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95111-1006
Mailing Address - Country:US
Mailing Address - Phone:408-307-2580
Mailing Address - Fax:
Practice Address - Street 1:2430 FUTAMASE CT
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95111-1006
Practice Address - Country:US
Practice Address - Phone:408-307-2580
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-25
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA86325316133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered