Organization · Type 2 NPI
Evergreen Golden Health Center A Medical Corporation
Health Service Clinic/Center · San Jose, CA
NPI number
1255515987
Active
Practice location
888 N Winchester Blvd
San Jose, CA 95128-1353
Fax (408) 243-7366
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Service Clinic/Center Primary | 261QH0100X | FNP36749 (CA) |
Health Service Clinic/Center: Definition to come...
Another provider at this address
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About NPI 1255515987
Evergreen Golden Health Center A Medical Corporation's National Provider Identifier is 1255515987, issued on Dec 17, 2007. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in San Jose, CA. The record was last updated on Nov 18, 2008.