| Altos Health | |
|
2242 Camden Ave Ste 204 San Jose CA 95124-2029 | |
| (650) 383-4768 | |
| (650) 772-5372 |
| Full Name | Altos Health |
|---|---|
| Speciality | Internal Medicine |
| Location | 2242 Camden Ave Ste 204, San Jose, California |
| Authorized Official Name and Position | Inna Yaskin (PHYSICIAN) |
| Authorized Official Contact | 7326917599 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Altos Health 2242 Camden Ave Ste 204 San Jose CA 95124-2029 Ph: (650) 383-4768 | Altos Health 2242 Camden Ave Ste 204 San Jose CA 95124-2029 Ph: (650) 383-4768 |
| NPI Number | 1023748811 |
|---|---|
| Provider Enumeration Date | 06/14/2022 |
| Last Update Date | 03/28/2023 |
| Medicare PECOS PAC ID | 3779965207 |
|---|---|
| Medicare Enrollment ID | O20220801001070 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023748811 | NPI | - | NPPES |
| CA552297 | Other | CA | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Patricia Roukee Sitnitsky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790896231 PECOS PAC ID: 3971547829 Enrollment ID: I20050613000617 |
| Provider Name | Inna Yaskin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316965353 PECOS PAC ID: 7810940707 Enrollment ID: I20110301001103 |
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