Provider Demographics
NPI:1790995975
Name:NGUYEN, HOANG MANH (DO)
Entity Type:Individual
Prefix:MR
First Name:HOANG
Middle Name:MANH
Last Name:NGUYEN
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:696 E SANTA CLARA ST
Mailing Address - Street 2:SUITE 108
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95112-1911
Mailing Address - Country:US
Mailing Address - Phone:408-971-8441
Mailing Address - Fax:408-295-6547
Practice Address - Street 1:696 E SANTA CLARA ST
Practice Address - Street 2:SUITE 108
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95112-1911
Practice Address - Country:US
Practice Address - Phone:408-971-8441
Practice Address - Fax:408-295-6547
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2013-08-15
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Provider Licenses
StateLicense IDTaxonomies
CA20A10655207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease