Momentum For Health | |
86 S 14th St San Jose CA 95112 | |
(408) 510-7080 | |
(408) 510-7081 |
Full Name | Momentum For Health |
---|---|
Speciality | Community/behavioral Health |
Location | 86 S 14th 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 86 S 14th St San Jose CA 95112 Ph: (408) 510-7080 |
NPI Number | 1659670032 |
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Provider Enumeration Date | 03/24/2011 |
Last Update Date | 03/25/2024 |
Certification Date | 03/25/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1659670032 | NPI | - | NPPES |
0000043BI | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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