| Dr Hector S Cerezomd Inc | |
|
125 N Jackson Ave Suite 110 San Jose CA 95116-1903 | |
| (408) 926-8111 | |
| (408) 926-8943 |
| Full Name | Dr Hector S Cerezomd Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 125 N Jackson Ave, San Jose, California |
| Authorized Official Name and Position | Hector D Cerezo (BILLING & OPERATIONS MANAGER) |
| Authorized Official Contact | 4089268111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Hector S Cerezomd Inc 125 N Jackson Ave Suite 110 San Jose CA 95116-1903 Ph: (408) 926-8111 | Dr Hector S Cerezomd Inc 125 N Jackson Ave Suite 110 San Jose CA 95116-1903 Ph: (408) 926-8111 |
| NPI Number | 1013282102 |
|---|---|
| Provider Enumeration Date | 03/21/2012 |
| Last Update Date | 03/21/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013282102 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | A37502 (California) | Primary |
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