Elite Plus Medical Clinic Inc | |
10430 S De Anza Blvd # 230b Cupertino CA 95014-3019 | |
(408) 258-5083 | |
Not Available |
Full Name | Elite Plus Medical Clinic Inc |
---|---|
Speciality | Internal Medicine |
Location | 10430 S De Anza Blvd # 230b, Cupertino, California |
Authorized Official Name and Position | Tam Hoang Nguyen (PRESIDENT) |
Authorized Official Contact | 4082585083 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Elite Plus Medical Clinic Inc 4945 Palemetto Dunes Ct San Jose CA 95138-2131 Ph: (408) 258-5083 | Elite Plus Medical Clinic Inc 10430 S De Anza Blvd # 230b Cupertino CA 95014-3019 Ph: (408) 258-5083 |
NPI Number | 1508694472 |
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Provider Enumeration Date | 07/23/2024 |
Last Update Date | 07/23/2024 |
Identifier | Type | State | Issuer |
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1508694472 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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