Provider Demographics
NPI:1679616635
Name:NGUYEN, DENNIS NHI (LAC, PHD)
Entity Type:Individual
Prefix:MR
First Name:DENNIS
Middle Name:NHI
Last Name:NGUYEN
Suffix:
Gender:M
Credentials:LAC, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3476 NOBLE AVE
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95132-3132
Mailing Address - Country:US
Mailing Address - Phone:408-254-2878
Mailing Address - Fax:
Practice Address - Street 1:3476 NOBLE AVE
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95132-3132
Practice Address - Country:US
Practice Address - Phone:408-923-6898
Practice Address - Fax:408-923-6895
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-15
Last Update Date:2010-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC6936171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist