| Pacific Partners Medical Group Inc. | |
|
1569 Lexann Ave 128 San Jose CA 95121-1794 | |
| (408) 274-1654 | |
| Not Available |
| Full Name | Pacific Partners Medical Group Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 1569 Lexann Ave, San Jose, California |
| Authorized Official Name and Position | J. Kersten Kraft (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 4082741654 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pacific Partners Medical Group Inc. 987 University Ave 12 Los Gatos CA 95032-7640 Ph: (650) 358-5800 | Pacific Partners Medical Group Inc. 1569 Lexann Ave 128 San Jose CA 95121-1794 Ph: (408) 274-1654 |
| NPI Number | 1558614073 |
|---|---|
| Provider Enumeration Date | 10/22/2012 |
| Last Update Date | 04/10/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558614073 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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