| N/a | |
|
2625 Zanker Rd 101 San Jose CA 95134-2130 | |
| (408) 325-5230 | |
| (408) 944-0468 |
| Full Name | N/a |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2625 Zanker Rd, San Jose, California |
| Authorized Official Name and Position | Louise Aryapour (CFO) |
| Authorized Official Contact | 4083255115 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| N/a 2625 Zanker Rd 101 San Jose CA 95134-2130 Ph: (408) 325-5230 | N/a 2625 Zanker Rd 101 San Jose CA 95134-2130 Ph: (408) 325-5230 |
| NPI Number | 1003085820 |
|---|---|
| Provider Enumeration Date | 02/26/2008 |
| Last Update Date | 08/29/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003085820 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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