Nguyen, Mark Minh

Nguyen, Mark Minh is an sole proprietor health care provider with primary practice located at 751 S Bascom Ave Santa Clara Valley Medical Center, San Jose CA 95128-2604. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Nguyen, Mark Minh can be contacted via phone (408) 885-2100.

Contact Information

Primary practice address
751 S Bascom Ave Santa Clara Valley Medical Center San Jose CA 95128-2604
Fax: (408) 885-2028
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 204530 Massachusetts

Profile Details

NPI number 1306812896
LBN Legal business name Nguyen, Mark Minh
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 24th, 2006
Last updated Feb 11th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306812896 NPPES
Massachusetts Other J22602 BCBS MA
Massachusetts Other 204530 BCBS MA
Massachusetts MEDICAID 0157619 BCBS MA

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