Dr. Queen Family Medicine

LBN: Dr. Queen Family Medicine
Dr. Queen Family Medicine is an health care organization with primary practice located at 1675 Burdette Dr Ste 20 , San Jose CA 95121-1667. The organization recently has only one registered license in Ambulatory Health Care Facilities / Health Service, which is considered as the primary health care specialty. Dr. Queen Family Medicine can be contacted via phone (408) 274-6944, or through Nguyen, Quynh Queen via phone (408) 274-6944.

Contact Information

Primary practice address
1675 Burdette Dr Ste 20 San Jose CA 95121-1667
Phone: (408) 274-6944
Fax: (408) 274-2258
Website:
Map and Directions
Authorized official contact:
Name: Nguyen, Quynh Queen Doctor of Osteopathy (DO)
Phone: (408) 274-6944

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Health Service 261QH0100X 20A8237 California

Profile Details

NPI number 1710366828
LBN Legal business name Dr. Queen Family Medicine
DBA Doing business as
Authorized official Nguyen, Quynh Queen Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date May 21st, 2015
Last updated May 21st, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710366828 NPPES
California MEDICAID 00AX82370

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