| Emerging Milestones | |
|
1172 Murphy Ave Suite 201-202 San Jose CA 95131-2429 | |
| (408) 728-8476 | |
| (510) 371-9608 |
| Full Name | Emerging Milestones |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1172 Murphy Ave, San Jose, California |
| Authorized Official Name and Position | Rajan Thinda (PRESIDENT / CEO) |
| Authorized Official Contact | 4088768281 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Emerging Milestones Po Box 731253 San Jose CA 95173-1253 Ph: (408) 728-8476 | Emerging Milestones 1172 Murphy Ave Suite 201-202 San Jose CA 95131-2429 Ph: (408) 728-8476 |
| NPI Number | 1568807659 |
|---|---|
| Provider Enumeration Date | 05/03/2013 |
| Last Update Date | 09/02/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568807659 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 252Y00000X | Early Intervention Provider Agency | (* (Not Available)) | Secondary |
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