| South Bay Medical Associates, Inc | |
|
15100 Los Gatos Blvd Ste 1 Los Gatos CA 95032-2028 | |
| (408) 909-1350 | |
| (833) 740-3658 |
| Full Name | South Bay Medical Associates, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 15100 Los Gatos Blvd Ste 1, Los Gatos, California |
| Authorized Official Name and Position | Daniel H Jo (PRESIDENT) |
| Authorized Official Contact | 4089091350 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| South Bay Medical Associates, Inc 1030 E El Camino Real # 151 Sunnyvale CA 94087-3759 Ph: (408) 909-1350 | South Bay Medical Associates, Inc 15100 Los Gatos Blvd Ste 1 Los Gatos CA 95032-2028 Ph: (408) 909-1350 |
| NPI Number | 1558852731 |
|---|---|
| Provider Enumeration Date | 05/23/2018 |
| Last Update Date | 09/29/2023 |
| Medicare PECOS PAC ID | 1759634256 |
|---|---|
| Medicare Enrollment ID | O20181031000749 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558852731 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | A-147880 (California) | Secondary |
| 207RR0500X | Internal Medicine - Rheumatology | A-147880 (California) | Primary |
| Provider Name | Daniel H Jo |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1508150590 PECOS PAC ID: 8729398722 Enrollment ID: I20170628002703 |
| Provider Name | Tiffany Trieu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366883217 PECOS PAC ID: 1052650405 Enrollment ID: I20190228002065 |
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