| Whole Health Medical Center Inc. | |
|
1888 Saratoga Ave Ste 101 San Jose CA 95129-5214 | |
| (408) 379-8888 | |
| (408) 379-8833 |
| Full Name | Whole Health Medical Center Inc. |
|---|---|
| Speciality | General Practice |
| Location | 1888 Saratoga Ave Ste 101, San Jose, California |
| Authorized Official Name and Position | Bradley Mouroux (PRESIDENT) |
| Authorized Official Contact | 4086073715 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Whole Health Medical Center Inc. 1888 Saratoga Ave Ste 101 San Jose CA 95129-5214 Ph: (408) 379-8888 | Whole Health Medical Center Inc. 1888 Saratoga Ave Ste 101 San Jose CA 95129-5214 Ph: (408) 379-8888 |
| NPI Number | 1235700725 |
|---|---|
| Provider Enumeration Date | 07/06/2021 |
| Last Update Date | 07/06/2021 |
| Medicare PECOS PAC ID | 5193104958 |
|---|---|
| Medicare Enrollment ID | O20220624000905 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235700725 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Iryna Jha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801403076 PECOS PAC ID: 5799164554 Enrollment ID: I20220624001026 |
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