| Medvidi Health Pc | |
|
4010 Moorpark Ave Ste 114 San Jose CA 95117-1804 | |
| (504) 414-5095 | |
| Not Available |
| Full Name | Medvidi Health Pc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 4010 Moorpark Ave Ste 114, San Jose, California |
| Authorized Official Name and Position | Laura E Purdy (CMO) |
| Authorized Official Contact | 9106448373 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medvidi Health Pc 4010 Moorpark Ave Ste 114 San Jose CA 95117-1804 Ph: (504) 414-5095 | Medvidi Health Pc 4010 Moorpark Ave Ste 114 San Jose CA 95117-1804 Ph: (504) 414-5095 |
| NPI Number | 1437901238 |
|---|---|
| Provider Enumeration Date | 04/04/2024 |
| Last Update Date | 04/04/2024 |
| Certification Date | 02/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437901238 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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