| Willow Glen Primary Care Medicine | |
|
1226 Lincoln Ave Suite 100 San Jose CA 95125-3025 | |
| (408) 460-5869 | |
| Not Available |
| Full Name | Willow Glen Primary Care Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 1226 Lincoln Ave, San Jose, California |
| Authorized Official Name and Position | Sian Lindsay (OWNER) |
| Authorized Official Contact | 4084605869 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Willow Glen Primary Care Medicine 1226 Lincoln Ave Suite 100 San Jose CA 95125-3025 Ph: (408) 460-5869 | Willow Glen Primary Care Medicine 1226 Lincoln Ave Suite 100 San Jose CA 95125-3025 Ph: (408) 460-5869 |
| NPI Number | 1942692140 |
|---|---|
| Provider Enumeration Date | 02/24/2015 |
| Last Update Date | 03/20/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942692140 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A75108 (California) | Primary |
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