| Abellera Medical Group, Inc. | |
|
2350 Mckee Rd Ste 1 San Jose CA 95116-1617 | |
| (408) 272-0379 | |
| Not Available |
| Full Name | Abellera Medical Group, Inc. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 2350 Mckee Rd Ste 1, San Jose, California |
| Authorized Official Name and Position | Nilda Agnes A Abellera (CEO/PRESIDENT) |
| Authorized Official Contact | 4082720379 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Abellera Medical Group, Inc. 2350 Mckee Rd Ste 1 San Jose CA 95116-1617 Ph: () - | Abellera Medical Group, Inc. 2350 Mckee Rd Ste 1 San Jose CA 95116-1617 Ph: (408) 272-0379 |
| NPI Number | 1154588515 |
|---|---|
| Provider Enumeration Date | 05/21/2008 |
| Last Update Date | 07/22/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154588515 | NPI | - | NPPES |
| 05D0705196 | Other | CA | CLIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | A35884 (California) | Primary |
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