Provider Demographics
NPI:1902634132
Name:NGUYEN, KHANH LINH THE
Entity type:Individual
Prefix:
First Name:KHANH LINH
Middle Name:THE
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7205 VIA ROMERA
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95139-1160
Mailing Address - Country:US
Mailing Address - Phone:408-250-7858
Mailing Address - Fax:
Practice Address - Street 1:7205 VIA ROMERA
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95139-1160
Practice Address - Country:US
Practice Address - Phone:408-250-7858
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-22
Last Update Date:2024-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program