Organization · Type 2 NPI

Willow Glen Medical Foundation

Primary Care Clinic/Center · San Jose, CA

NPI number 1124939640 Active

Practice location

1226 Lincoln Ave Ste 100
San Jose, CA 95125-3025

Call (408) 295-1005 Map

Fax (408) 295-2008

Specialties and licenses

TaxonomyCodeLicense
Primary Care Clinic/Center Primary 261QP2300XNone listed

Primary Care Clinic/Center: Definition to come...

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About NPI 1124939640

Willow Glen Medical Foundation's National Provider Identifier is 1124939640, issued on Sep 14, 2026. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in San Jose, CA. The record was last updated on Sep 14, 2026.