| Sbsfm | |
|
221 E Hacienda Ave Suite B Campbell CA 95008-6616 | |
| (408) 376-3350 | |
| (408) 374-4130 |
| Full Name | Sbsfm |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 221 E Hacienda Ave, Campbell, California |
| Authorized Official Name and Position | Christian James Fulmer (CEO) |
| Authorized Official Contact | 4085682641 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sbsfm 221 E Hacienda Ave Suite B Campbell CA 95008-6616 Ph: (408) 376-3350 | Sbsfm 221 E Hacienda Ave Suite B Campbell CA 95008-6616 Ph: (408) 376-3350 |
| NPI Number | 1881884310 |
|---|---|
| Provider Enumeration Date | 07/31/2007 |
| Last Update Date | 08/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881884310 | NPI | - | NPPES |
| ZZZ06553Z | Other | CA | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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