| |
15899 Los Gatos Almaden Rd Ste 3 Los Gatos CA 95032-3739 | |
(408) 560-9985 | |
(408) 731-9115 |
Full Name | |
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Speciality | Psychiatry & Neurology |
Location | 15899 Los Gatos Almaden Rd Ste 3, Los Gatos, California |
Authorized Official Name and Position | Tammy C. Saah (CEO) |
Authorized Official Contact | 4085609985 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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15899 Los Gatos Almaden Rd Ste 3 Los Gatos CA 95032-3739 Ph: (408) 560-9985 | 15899 Los Gatos Almaden Rd Ste 3 Los Gatos CA 95032-3739 Ph: (408) 560-9985 |
NPI Number | 1972077907 |
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Provider Enumeration Date | 01/12/2019 |
Last Update Date | 02/11/2019 |
Medicare PECOS PAC ID | 8224370655 |
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Medicare Enrollment ID | O20190503001105 |
Identifier | Type | State | Issuer |
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1972077907 | NPI | - | NPPES |
1245557578 | Other | CA | NPI INDIVIDUAL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
Provider Name | Tammy C Saah |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1245557578 PECOS PAC ID: 5496971426 Enrollment ID: I20171127003067 |
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