Healthcare Provider Details

I. General information

NPI: 1306562178
Provider Name (Legal Business Name): GIANG NHAN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/13/2022
Last Update Date: 03/05/2026
Certification Date: 03/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 N RENGSTORFF AVE
MOUNTAIN VIEW CA
94043-1716
US

IV. Provider business mailing address

3059 HOPYARD RD
PLEASANTON CA
94588-5258
US

V. Phone/Fax

Practice location:
  • Phone: 650-988-7160
  • Fax:
Mailing address:
  • Phone: 925-623-5511
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number86946
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: