Healthcare Provider Details

I. General information

NPI: 1760681191
Provider Name (Legal Business Name): DUNG HOANG NGUYEN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/16/2007
Last Update Date: 04/29/2024
Certification Date: 04/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 PASTEUR DR
PALO ALTO CA
94304-2203
US

IV. Provider business mailing address

300 PASTEUR DR
PALO ALTO CA
94304-2203
US

V. Phone/Fax

Practice location:
  • Phone: 650-723-4000
  • Fax: 323-226-5760
Mailing address:
  • Phone: 650-723-4000
  • Fax: 323-226-5760

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberA94970
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: