| Seres Prime Healthcare | |
|
841 Blossom Hill Rd Ste 215 San Jose CA 95123-2704 | |
| (408) 629-7095 | |
| (408) 281-8235 |
| Full Name | Seres Prime Healthcare |
|---|---|
| Speciality | Clinic/Center |
| Location | 841 Blossom Hill Rd Ste 215, San Jose, California |
| Authorized Official Name and Position | Daniel J Reyes-villa (PRESIDENT) |
| Authorized Official Contact | 4087020991 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Seres Prime Healthcare 841 Blossom Hill Rd Ste 215 San Jose CA 95123-2704 Ph: (408) 629-7095 | Seres Prime Healthcare 841 Blossom Hill Rd Ste 215 San Jose CA 95123-2704 Ph: (408) 629-7095 |
| NPI Number | 1306483839 |
|---|---|
| Provider Enumeration Date | 12/03/2019 |
| Last Update Date | 03/06/2020 |
| Medicare PECOS PAC ID | 1951739879 |
|---|---|
| Medicare Enrollment ID | O20200306002039 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306483839 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Daniel J Reyes-villa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013136563 PECOS PAC ID: 3173682374 Enrollment ID: I20081103000418 |
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