| Ranada Home Health Provider | |
|
2880 Zanker Rd Ste 203 San Jose CA 95134-2122 | |
| (510) 646-5932 | |
| Not Available |
| Full Name | Ranada Home Health Provider |
|---|---|
| Speciality | Internal Medicine |
| Location | 2880 Zanker Rd Ste 203, San Jose, California |
| Authorized Official Name and Position | Engelbert Tito Ranada (CEO) |
| Authorized Official Contact | 5106465932 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ranada Home Health Provider 2880 Zanker Rd Ste 203 San Jose CA 95134-2122 Ph: () - | Ranada Home Health Provider 2880 Zanker Rd Ste 203 San Jose CA 95134-2122 Ph: (510) 646-5932 |
| NPI Number | 1114447836 |
|---|---|
| Provider Enumeration Date | 06/23/2017 |
| Last Update Date | 06/23/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114447836 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 20A14081 (California) | Primary |
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