Most Relevant Information
Provider Data
| NPI Number: | 1003421975 |
| Provider Name: | MIRANDA MINH-HAN NGUYEN |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | 60845 |
Most Important Dates
| Enumeration Date: | 09/09/2020 |
| Last Updated: | 03/06/2024 |
Provider Practice Location
4000 CIVIC CENTER DR
SAN RAFAEL
CA
949034171
Practice Location Phone/Fax
| Phone: | 4154923333 |
| Fax: |
Provider Mailing Location
6000 FULTON ST APT 1
SAN FRANCISCO
CA
941213450
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |