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877 W Fremont Ave Ste N3 Sunnyvale CA 94087-2332 | |
| (650) 993-9996 | |
| (650) 999-0939 |
| Full Name | |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 877 W Fremont Ave Ste N3, Sunnyvale, California |
| Authorized Official Name and Position | David Mikel Carreon (PRESIDENT) |
| Authorized Official Contact | 6509939996 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
877 W Fremont Ave Ste J1 Sunnyvale CA 94087-2332 Ph: (650) 993-9996 | 877 W Fremont Ave Ste N3 Sunnyvale CA 94087-2332 Ph: (650) 993-9996 |
| NPI Number | 1720572274 |
|---|---|
| Provider Enumeration Date | 06/19/2018 |
| Last Update Date | 10/21/2024 |
| Certification Date | 10/21/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720572274 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | A138528 (California) | Primary |
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