| Malcolm Medical Group | |
|
1150 Scott Blvd Ste D1 Santa Clara CA 95050-4547 | |
| (408) 246-9915 | |
| (408) 246-0187 |
| Full Name | Malcolm Medical Group |
|---|---|
| Speciality | Family Medicine - Sports Medicine |
| Location | 1150 Scott Blvd Ste D1, Santa Clara, California |
| Authorized Official Name and Position | Jon M Scott (PHYSICIAN) |
| Authorized Official Contact | 4082469915 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Malcolm Medical Group 1150 Scott Blvd Ste D1 Santa Clara CA 95050-4547 Ph: (408) 246-9915 | Malcolm Medical Group 1150 Scott Blvd Ste D1 Santa Clara CA 95050-4547 Ph: (408) 246-9915 |
| NPI Number | 1710203245 |
|---|---|
| Provider Enumeration Date | 04/08/2010 |
| Last Update Date | 05/13/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710203245 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QS0010X | Family Medicine - Sports Medicine | 20A5858 (California) | Primary |
Fei Xu Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1765 Scott Blvd Ste 101, Santa Clara, CA 95050 Phone: 669-245-5488 | |
Ptr Sports, A Medical Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1825 Civic Center Dr, Suite 25, Santa Clara, CA 95050 Phone: 408-404-4700 Fax: 408-404-4701 | |
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