Healthcare Provider Details

I. General information

NPI: 1356283261
Provider Name (Legal Business Name): HANG THUY NGUYEN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/08/2026
Last Update Date: 04/08/2026
Certification Date: 04/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2514 FLINT AVE UNIT 2
SAN JOSE CA
95148-1721
US

IV. Provider business mailing address

2514 FLINT AVE UNIT 2
SAN JOSE CA
95148-1721
US

V. Phone/Fax

Practice location:
  • Phone: 408-944-5031
  • Fax: 408-944-5031
Mailing address:
  • Phone: 408-944-5031
  • Fax: 408-944-5031

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number6076146735
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number6076146735
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: