| Jaagmd | |
|
1309 S Mary Ave Suite Number 135 Sunnyvale CA 94087-3050 | |
| (408) 245-1300 | |
| (408) 245-1305 |
| Full Name | Jaagmd |
|---|---|
| Speciality | Psychiatry & Neurology - Clinical Neurophysiology |
| Location | 1309 S Mary Ave, Sunnyvale, California |
| Authorized Official Name and Position | Angela Anagnos (PRESIDENT) |
| Authorized Official Contact | 4083784434 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jaagmd 94 Amato Ave Campbell CA 95008-1805 Ph: (408) 378-4434 | Jaagmd 1309 S Mary Ave Suite Number 135 Sunnyvale CA 94087-3050 Ph: (408) 245-1300 |
| NPI Number | 1750301271 |
|---|---|
| Provider Enumeration Date | 07/20/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750301271 | NPI | - | NPPES |
| 00G830270 | Other | CA | BLUE SHIELD |
| 00G830271 | Other | CA | BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0600X | Psychiatry & Neurology - Clinical Neurophysiology | G830270 (California) | Primary |
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