| Momentum For Health | |
|
2115 The Alameda San Jose CA 95126-1141 | |
| (669) 289-7700 | |
| (408) 977-0145 |
| Full Name | Momentum For Health |
|---|---|
| Speciality | Psychologist |
| Location | 2115 The Alameda, 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 2115 The Alameda San Jose CA 95126-1141 Ph: (669) 289-7700 |
| NPI Number | 1275176265 |
|---|---|
| Provider Enumeration Date | 10/22/2019 |
| Last Update Date | 07/05/2023 |
| Certification Date | 07/05/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275176265 | NPI | - | NPPES |
| 0000043EC | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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