Compass Medical Clinic | |
1340 Tully Rd Ste 309 San Jose CA 95122-3055 | |
(408) 993-8536 | |
(408) 993-8539 |
Full Name | Compass Medical Clinic |
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Speciality | Clinic/Center |
Location | 1340 Tully Rd Ste 309, San Jose, California |
Authorized Official Name and Position | Gina N Bui (PHYSICIAN) |
Authorized Official Contact | 4089938536 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Compass Medical Clinic 1340 Tully Rd Ste 309 San Jose CA 95122-3055 Ph: (408) 993-8536 | Compass Medical Clinic 1340 Tully Rd Ste 309 San Jose CA 95122-3055 Ph: (408) 993-8536 |
NPI Number | 1457935884 |
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Provider Enumeration Date | 05/11/2021 |
Last Update Date | 09/29/2021 |
Medicare PECOS PAC ID | 9830588045 |
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Medicare Enrollment ID | O20211109002807 |
Identifier | Type | State | Issuer |
---|---|---|---|
1457935884 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Gina N Bui |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1962736926 PECOS PAC ID: 2062668544 Enrollment ID: I20120816000427 |
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