| Kidango | |
|
1530 Parkmoor Ave San Jose CA 95128-2410 | |
| (510) 897-6915 | |
| Not Available |
| Full Name | Kidango |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1530 Parkmoor Ave, San Jose, California |
| Authorized Official Name and Position | Andrea Garcia (MENTAL HEALTH DIRECTOR) |
| Authorized Official Contact | 4088976966 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kidango 1510 Parkmoor Ave Suite B San Jose CA 95128-2418 Ph: () - | Kidango 1530 Parkmoor Ave San Jose CA 95128-2410 Ph: (510) 897-6915 |
| NPI Number | 1619345329 |
|---|---|
| Provider Enumeration Date | 09/11/2015 |
| Last Update Date | 09/11/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619345329 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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