| Camino Medical Group | |
|
20410 Town Center Ln Suite F-150 Cupertino CA 95014-3229 | |
| (408) 739-6000 | |
| Not Available |
| Full Name | Camino Medical Group |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 20410 Town Center Ln, Cupertino, California |
| Authorized Official Name and Position | Richard Slavin (CEO) |
| Authorized Official Contact | 4087396000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Camino Medical Group 301 Old San Francisco Rd Sunnyvale CA 94086-6386 Ph: (408) 739-6000 | Camino Medical Group 20410 Town Center Ln Suite F-150 Cupertino CA 95014-3229 Ph: (408) 739-6000 |
| NPI Number | 1306892823 |
|---|---|
| Provider Enumeration Date | 05/26/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306892823 | NPI | - | NPPES |
| GR009929D | Other | CA | MEDI CAL SITE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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