Physicians Medical Group Of San Jose, Inc.

NPI 1073648739 - Non-Pharmacy Dispensing Site - 332900000X

NPI Details
NPI 1073648739
Enumeration Date 02/22/2007
Last Updated 10/22/2012
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name KENNY KENNY
Position DIRECTOR OF OPERATIONS
Phone (408) 347-2060
Fax
Practice Location
227 N JACKSON AVE
SAN JOSE CA, 95116-1603, US
Phone (408) 347-2060
Fax
Business Location
5626 OBERLIN DR
SUITE 110
SAN DIEGO CA, 92121-1705, US
Phone
Fax
Toxanomy
Taxonomy Code 332900000X
License State California
License Number BL2431966
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According to our database, Physicians Medical Group Of San Jose, Inc. NPI is 1073648739, taxonomy code is 332900000X and license number is BL2431966, license state is located at California. Physicians Medical Group Of San Jose, Inc. physically located at 227 N Jackson Ave, San Jose CA, 95116-1603. NPI Number 1033115704 has the healthcare provider type.

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1073648739 NPI number is provided on an as is basis without warranty of any kind. 1073648739 is maintained by the National Plan & Provider Enumeration System. The contents of Physicians Medical Group Of San Jose, Inc. are for informational purposes only.