| NPI Details | |
|---|---|
| NPI | 1114330461 |
| Enumeration Date | 06/04/2014 |
| Last Updated | 10/29/2015 |
| Entity Type | Healthcare Provider |
| Active | Over 3 years ago |
| Authorized Information | |
|---|---|
| Name | ADEBUKOLA A. ADEBUKOLA |
| Position | PRESIDENT |
| Phone | (408) 377-3331 |
| Fax | (408) 377-3332 |
| Practice Location | |
|---|---|
| 3425 S BASCOM AVE SUITE I SAN JOSE CA, 95008-7300, US |
|
| Phone | (408) 377-3331 |
| Fax | (408) 377-3332 |
| Business Location | |
|---|---|
| 3425 S BASCOM AVE SUITE I CAMPBELL CA, 95008-7300, US |
|
| Phone | (408) 377-3331 |
| Fax | (408) 377-3332 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 207T00000X |
| License State | California |
| License Number | A83263 |
| Remove 1114330461 NPI Number | |
According to our database, California Spine And Neurosurgery Institute NPI is 1114330461, taxonomy code is 207T00000X and license number is A83263, license state is located at California. California Spine And Neurosurgery Institute physically located at 3425 S Bascom Ave, San Jose CA, 95008-7300. NPI Number 1033115704 has the healthcare provider type.
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1114330461 NPI number is provided on an as is basis without warranty of any kind. 1114330461 is maintained by the National Plan & Provider Enumeration System. The contents of California Spine And Neurosurgery Institute are for informational purposes only.
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