Organization · Type 2 NPI
County of Santa Clara
Allergy Physician · San Jose, CA
NPI number
1104014935
Active
Practice location
751 S Bascom Ave, Physician Services
San Jose, CA 95128-2604
Mailing address
PO Box 5730, Patient Business Services
San Jose, CA 95150-5730
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Allergy Physician Primary | 207KA0200X | None listed |
Allergy Physician: A physician who specializes in the diagnosis, treatment, and management of allergies.
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About NPI 1104014935
County of Santa Clara's National Provider Identifier is 1104014935, issued on Oct 5, 2007. The primary taxonomy on file is Allergy Physician (207KA0200X), and the practice location is in San Jose, CA. The record was last updated on Oct 5, 2007.