| Redwood Phoenix Medical, Pc | |
|
825 Pollard Rd Ste 100 Los Gatos CA 95032-1435 | |
| (415) 275-0092 | |
| Not Available |
| Full Name | Redwood Phoenix Medical, Pc |
|---|---|
| Speciality | Psychiatry & Neurology - Sleep Medicine |
| Location | 825 Pollard Rd Ste 100, Los Gatos, California |
| Authorized Official Name and Position | Tony Masri (OWNER/PHYSICIAN) |
| Authorized Official Contact | 4152750092 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Redwood Phoenix Medical, Pc 912 Cole St # 298 San Francisco CA 94117-4316 Ph: (415) 275-0092 | Redwood Phoenix Medical, Pc 825 Pollard Rd Ste 100 Los Gatos CA 95032-1435 Ph: (415) 275-0092 |
| NPI Number | 1295412211 |
|---|---|
| Provider Enumeration Date | 06/30/2023 |
| Last Update Date | 06/30/2023 |
| Certification Date | 06/30/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295412211 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084S0012X | Psychiatry & Neurology - Sleep Medicine | (* (Not Available)) | Primary |
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