Kidango | |
2000 Kammerer Ave San Jose CA 95116-3016 | |
(408) 315-7678 | |
(510) 509-1670 |
Full Name | Kidango |
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Speciality | Community/behavioral Health |
Location | 2000 Kammerer Ave, San Jose, California |
Authorized Official Name and Position | James Comfort (BEHAVIORAL HEALTH DIRECTOR) |
Authorized Official Contact | 4083157678 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Kidango 2000 Kammerer Ave San Jose CA 95116-3016 Ph: (408) 315-7678 | Kidango 2000 Kammerer Ave San Jose CA 95116-3016 Ph: (408) 315-7678 |
NPI Number | 1144414624 |
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Provider Enumeration Date | 08/28/2007 |
Last Update Date | 10/19/2022 |
Certification Date | 10/19/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144414624 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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