| Valley Wellness Health Group | |
|
4950 Hamilton Ave Ste 109, San Jose, CA 95130-1748 | |
| (408) 256-3865 | |
| (408) 550-1974 |
| Full Name | Valley Wellness Health Group |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 4950 Hamilton Ave Ste 109, San Jose, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609206366 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | DC29804 (California) | Primary |
| Provider Name | Tam V Ly |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1720026842 PECOS PAC ID: 0345246062 Enrollment ID: I20061019000416 |
| Mailing Address | Practice Location Address |
|---|---|
| Valley Wellness Health Group 4950 Hamilton Ave Ste 109, San Jose, CA 95130-1748 Ph: (408) 256-3865 | Valley Wellness Health Group 4950 Hamilton Ave Ste 109, San Jose, CA 95130-1748 Ph: (408) 256-3865 |
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