Axis Community Health

NPI 1124461397 - Clinic/Center - 261QC1500X

NPI Details
NPI 1124461397
Enumeration Date 04/08/2013
Last Updated 04/08/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name DIVYA DIVYA
Position MEDICAL DIRECTOR
Phone (925) 968-9487
Fax
Practice Location
4361 RAILROAD AVE
PLEASANTON CA, 94566-6611, US
Phone (925) 968-9487
Fax
Business Location
4361 RAILROAD AVE
PLEASANTON CA, 94566-6611, US
Phone (925) 968-9487
Fax
Toxanomy
Taxonomy Code 261QC1500X
License State California
License Number 22759
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According to our database, Axis Community Health NPI is 1124461397, taxonomy code is 261QC1500X and license number is 22759, license state is located at California. Axis Community Health physically located at 4361 Railroad Ave, Pleasanton CA, 94566-6611. NPI Number 1033115704 has the healthcare provider type.

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1124461397 NPI number is provided on an as is basis without warranty of any kind. 1124461397 is maintained by the National Plan & Provider Enumeration System. The contents of Axis Community Health are for informational purposes only.