| |
675 Almanor Ave Sunnyvale CA 94085-2934 | |
(408) 734-2800 | |
(408) 734-9208 |
Full Name | |
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Speciality | Psychiatry & Neurology - Neurology |
Location | 675 Almanor Ave, Sunnyvale, California |
Authorized Official Name and Position | Michelle Knapik (CFO) |
Authorized Official Contact | 6507700201 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2500 Hospital Dr Bldg 10 Mountain View CA 94040-4106 Ph: () - | 675 Almanor Ave Sunnyvale CA 94085-2934 Ph: (408) 734-2800 |
NPI Number | 1396782520 |
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Provider Enumeration Date | 05/31/2006 |
Last Update Date | 10/08/2020 |
Certification Date | 10/08/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1396782520 | NPI | - | NPPES |
GR0054990 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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