Provider Demographics
NPI:1659520666
Name:FIRST HEALTH CLINIC
Entity Type:Organization
Organization Name:FIRST HEALTH CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HAI
Authorized Official - Middle Name:KEVIN
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:408-929-5505
Mailing Address - Street 1:459 S CAPITOL AVE STE 4
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95127-3025
Mailing Address - Country:US
Mailing Address - Phone:408-929-5505
Mailing Address - Fax:408-929-5705
Practice Address - Street 1:459 S CAPITOL AVE STE 4
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95127-3025
Practice Address - Country:US
Practice Address - Phone:408-929-5505
Practice Address - Fax:408-929-5705
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-15
Last Update Date:2008-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA88085305S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service