Healthcare Provider Details

I. General information

NPI: 1932023108
Provider Name (Legal Business Name): UYEN KIM NGUYEN DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/08/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1633 BAYSHORE HWY STE 145
BURLINGAME CA
94010-1530
US

IV. Provider business mailing address

860 CAMPUS DR APT 305
DALY CITY CA
94015-4929
US

V. Phone/Fax

Practice location:
  • Phone: 650-239-9075
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number310568
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: