Center For Developing Minds Medical Corporation

NPI 1083748248 - Pediatrics - 2080P0006X

NPI Details
NPI 1083748248
Enumeration Date 03/16/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name DAMON RUSSELL DAMON
Position DIRECTOR
Phone (408) 358-1853
Fax
Practice Location
15951 LOS GATOS BLVD
SUITE 6
LOS GATOS CA, 95032-3428, US
Phone (408) 358-1853
Fax
Business Location
22990 SCHULTIES RD
LOS GATOS CA, 95033-8703, US
Phone (408) 358-1853
Fax
Toxanomy
Taxonomy Code 2080P0006X
License State California
License Number A62686
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According to our database, Center For Developing Minds Medical Corporation NPI is 1083748248, taxonomy code is 2080P0006X and license number is A62686, license state is located at California. Center For Developing Minds Medical Corporation physically located at 15951 Los Gatos Blvd, Los Gatos CA, 95032-3428. NPI Number 1033115704 has the healthcare provider type.

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1083748248 NPI number is provided on an as is basis without warranty of any kind. 1083748248 is maintained by the National Plan & Provider Enumeration System. The contents of Center For Developing Minds Medical Corporation are for informational purposes only.