| Foothill Medical Clinic Inc | |
|
10011 N Foothill Blvd Suite #105 Cupertino CA 95014-5649 | |
| (408) 366-0600 | |
| (408) 366-0609 |
| Full Name | Foothill Medical Clinic Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 10011 N Foothill Blvd, Cupertino, California |
| Authorized Official Name and Position | Gabriel Jang-jyh Young (M.D.) |
| Authorized Official Contact | 4083660600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Foothill Medical Clinic Inc 10011 N Foothill Blvd Suite #105 Cupertino CA 95014-5649 Ph: (408) 366-0600 | Foothill Medical Clinic Inc 10011 N Foothill Blvd Suite #105 Cupertino CA 95014-5649 Ph: (408) 366-0600 |
| NPI Number | 1417345323 |
|---|---|
| Provider Enumeration Date | 12/30/2014 |
| Last Update Date | 12/30/2014 |
| Medicare PECOS PAC ID | 5496071987 |
|---|---|
| Medicare Enrollment ID | O20150227000424 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417345323 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Gabriel J Young |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811084114 PECOS PAC ID: 5597825646 Enrollment ID: I20081119000090 |
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