| Northern California Kidney Stone Center Inc | |
|
16400 Lark Ave Ste 100 Los Gatos CA 95032 | |
| (408) 358-2805 | |
| (408) 358-2810 |
| Full Name | Northern California Kidney Stone Center Inc |
|---|---|
| Speciality | Clinic/center |
| Location | 16400 Lark Ave, Los Gatos, California |
| Authorized Official Name and Position | Ali Moayed (PRESIDENT) |
| Authorized Official Contact | 4083582805 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northern California Kidney Stone Center Inc 16400 Lark Ave Ste 100 Los Gatos CA 95032 Ph: (408) 358-2805 | Northern California Kidney Stone Center Inc 16400 Lark Ave Ste 100 Los Gatos CA 95032 Ph: (408) 358-2805 |
| NPI Number | 1891885547 |
|---|---|
| Provider Enumeration Date | 10/13/2006 |
| Last Update Date | 07/11/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891885547 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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