Clyde Ellis Virges CADC II09181953

  • NPI 1134428162
According to our database, the NPI number for Clyde Ellis Virges CADC II09181953 is 1134428162 and activated since 13 years ago. Clyde Ellis Virges CADC II09181953 is an individual provider who specializes in Addiction (Substance Use Disorder), and the primary practice location is 614 Tully Rd, San Jose, CA 95111. You can also contact Clyde Ellis Virges CADC II09181953 via telephone number is (408) 977-1591. Provider NPI information was last updated on 03/16/2011.

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Overview of Clyde Ellis Virges CADC II09181953

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 03/16/2011
  • Last updated: 03/16/2011

Primary Scrop of Practice

  • Taxonomy Code: 101YA0400X
  • Specialty: Addiction (Substance Use Disorder)
  • License Number: E0312796
  • License State: CA

Provider Mailing Address

  • Address: 614 Tully Rd
    San Jose, CA 95111
  • Phone: 408-977-1591
  • Fax: 408-977-1136

Provider Practice Location

  • Address: 614 Tully Rd
    San Jose, CA 95111
  • Phone: 408-977-1591
  • Fax: 408-977-1136

Scope of Practice

  • Taxonomy Code: 101YA0400X
  • Specialty: Addiction (Substance Use Disorder)
  • License Number: E0312796
  • License State: CA
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Clyde Ellis Virges CADC II09181953?
  • A: The npi number for Clyde Ellis Virges CADC II09181953 is 1134428162.
  • Q: What are Clyde Ellis Virges CADC II09181953's specialties?
  • A: Clyde Ellis Virges CADC II09181953's specialties are Addiction (Substance Use Disorder) and different specialities.
  • Q: What is the medical license for Clyde Ellis Virges CADC II09181953?
  • A: The medical license number for Clyde Ellis Virges CADC II09181953 is E0312796 and issued in CA in USA.
  • Q: Where is Clyde Ellis Virges CADC II09181953 practice location?
  • A: Clyde Ellis Virges CADC II09181953 is practicing at 614 Tully Rd, San Jose, CA 95111.
  • Q: How to contact Clyde Ellis Virges CADC II09181953?
  • A: You can contact Clyde Ellis Virges CADC II09181953 via 408-977-1591.