| Evergreen Medical Associates Inc | |
|
1642 E Capitol Expy San Jose CA 95121-1800 | |
| (408) 270-0112 | |
| (408) 270-3386 |
| Full Name | Evergreen Medical Associates Inc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 1642 E Capitol Expy, San Jose, California |
| Authorized Official Name and Position | Lam Huu Do (CEO) |
| Authorized Official Contact | 4082700112 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evergreen Medical Associates Inc 1642 E Capitol Expy San Jose CA 95121-1800 Ph: (408) 270-0112 | Evergreen Medical Associates Inc 1642 E Capitol Expy San Jose CA 95121-1800 Ph: (408) 270-0112 |
| NPI Number | 1790718260 |
|---|---|
| Provider Enumeration Date | 07/08/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790718260 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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