| To Be Primary Care | |
|
15215 National Ave Ste 104 Los Gatos CA 95032-2425 | |
| (707) 321-8542 | |
| Not Available |
| Full Name | To Be Primary Care |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 15215 National Ave, Los Gatos, California |
| Authorized Official Name and Position | Thao Nguyen (PRESIDENT/CEO) |
| Authorized Official Contact | 7073218542 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| To Be Primary Care Po Box 2266 Cupertino CA 95015-2266 Ph: (707) 321-8542 | To Be Primary Care 15215 National Ave Ste 104 Los Gatos CA 95032-2425 Ph: (707) 321-8542 |
| NPI Number | 1154741783 |
|---|---|
| Provider Enumeration Date | 04/22/2014 |
| Last Update Date | 08/19/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154741783 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | A76835 (California) | Primary |
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