| Central Medical Center Inc | |
|
2344 El Camino Real Ste 105 Santa Clara CA 95050-4072 | |
| (408) 249-1212 | |
| Not Available |
| Full Name | Central Medical Center Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2344 El Camino Real Ste 105, Santa Clara, California |
| Authorized Official Name and Position | Kisuk Cho (PRESIDENT) |
| Authorized Official Contact | 4082491212 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Medical Center Inc 2344 El Camino Real Ste 105 Santa Clara CA 95050-4072 Ph: () - | Central Medical Center Inc 2344 El Camino Real Ste 105 Santa Clara CA 95050-4072 Ph: (408) 249-1212 |
| NPI Number | 1497928360 |
|---|---|
| Provider Enumeration Date | 04/10/2008 |
| Last Update Date | 06/17/2013 |
| Medicare PECOS PAC ID | 0446312961 |
|---|---|
| Medicare Enrollment ID | O20081217000534 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497928360 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Kisuk Cho |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225122880 PECOS PAC ID: 7719975473 Enrollment ID: I20040503001168 |
| Provider Name | Sim C. Hoffman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053423079 PECOS PAC ID: 7012811151 Enrollment ID: I20110208000343 |
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