| Momentum For Health | |
|
540 N 1st St San Jose CA 95112-5319 | |
| (408) 510-3420 | |
| (408) 642-6052 |
| Full Name | Momentum For Health |
|---|---|
| Speciality | Psychologist |
| Location | 540 N 1st St, San Jose, California |
| Authorized Official Name and Position | David K. Mineta (CEO) |
| Authorized Official Contact | 6692130755 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Momentum For Health 1922 The Alameda Ste 316 San Jose CA 95126-1461 Ph: (408) 261-7777 | Momentum For Health 540 N 1st St San Jose CA 95112-5319 Ph: (408) 510-3420 |
| NPI Number | 1174891113 |
|---|---|
| Provider Enumeration Date | 12/06/2011 |
| Last Update Date | 02/22/2023 |
| Certification Date | 02/22/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174891113 | NPI | - | NPPES |
| 0000043CF | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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