MEDICARE: ONE HEALTH MEDICAL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	207R00000X	Internal Medicine Physician
2	207RC0000X	Cardiovascular Disease Physician
3	207RG0100X	Gastroenterology Physician
4	207RI0008X	Hepatology Physician
5	207RN0300X	Nephrology Physician
6	207Y00000X	Otolaryngology Physician
7	208000000X	Pediatrics Physician
8	208600000X	Surgery Physician
9	208D00000X	General Practice Physician
10	213E00000X	Podiatrist
11	231H00000X	Audiologist
12	237600000X	Audiologist-Hearing Aid Fitter
13	363A00000X	Physician Assistant
14	363L00000X	Nurse Practitioner
15	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1205426897
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ONE HEALTH MEDICAL

Provider Business Mailing Address
First Line	:	2340 MONTPELIER DR
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95116-1622
Country	:	US
Telephone Number	:	408-515-2428
Fax Number	:

Provider Business Practice Location Address
First Line	:	2365 MONTPELIER DR
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95116-1614
Country	:	US
Telephone Number	:	408-515-2428
Fax Number	:	408-347-9004

Authorized Official
Title or Position	:	PRESIDENT
Name	:	HUY NGOC TRINH
Credential	:	MD
Telephone Number	:	408-515-2428

Provider Enumeration Date	:	01/19/2021
Last Update Date	:	02/02/2021

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Directions to “ONE HEALTH MEDICAL ” Practice Location

Language	Start Address	Practice Location

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