| Mintz Medical Corporation | |
|
150 N Jackson Ave Ste 100 San Jose CA 95116-1908 | |
| (408) 272-3580 | |
| (408) 272-3581 |
| Full Name | Mintz Medical Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 150 N Jackson Ave Ste 100, San Jose, California |
| Authorized Official Name and Position | San San Myint (PRESIDENT) |
| Authorized Official Contact | 4086211536 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mintz Medical Corporation 5676 Kimberly St San Jose CA 95129-3135 Ph: (408) 621-1536 | Mintz Medical Corporation 150 N Jackson Ave Ste 100 San Jose CA 95116-1908 Ph: (408) 272-3580 |
| NPI Number | 1073756409 |
|---|---|
| Provider Enumeration Date | 04/15/2009 |
| Last Update Date | 04/15/2009 |
| Medicare PECOS PAC ID | 0345387700 |
|---|---|
| Medicare Enrollment ID | O20091019000014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073756409 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A051537 (California) | Primary |
| Provider Name | San-san Myint |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609944933 PECOS PAC ID: 4981741345 Enrollment ID: I20091019000010 |
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