| Life Connection Health Center | |
|
3571 N 1st St Ste 203 San Jose CA 95134-1803 | |
| (408) 424-2200 | |
| (408) 770-1874 |
| Full Name | Life Connection Health Center |
|---|---|
| Speciality | Dentist |
| Location | 3571 N 1st St Ste 203, San Jose, California |
| Authorized Official Name and Position | Miguel Reyes (Q/A CONTRACT & COMPLIANCE MANAGER) |
| Authorized Official Contact | 3108209933 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Connection Health Center 12121 Wilshire Blvd Ste 1111 Los Angeles CA 90025-1188 Ph: (310) 409-4225 | Life Connection Health Center 3571 N 1st St Ste 203 San Jose CA 95134-1803 Ph: (408) 424-2200 |
| NPI Number | 1487133989 |
|---|---|
| Provider Enumeration Date | 08/07/2018 |
| Last Update Date | 06/27/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487133989 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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