MEDICARE: CAT-MINH NGO

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	65992	CA

General Provider Information

NPI Number	:	1750668182
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAT-MINH NGO

Provider Business Mailing Address
First Line	:	2945 MACINTYRE DR APT 105
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95136-1200
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2945 MACINTYRE DR APT 105
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95136-1200
Country	:	US
Telephone Number	:	408-768-7826
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/14/2011
Last Update Date	:	11/14/2011

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Directions to “ CAT-MINH NGO ” Practice Location

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