Organization · Type 2 NPI

South Bay Sports and Preventive Medicine Associates, Inc.

Non-Pharmacy Dispensing Site · San Jose, CA

NPI number 1265661441 Active

Practice location

455 Oconnor Drive, Suite 150
San Jose, CA 95128

Fax (408) 294-6595

Specialties and licenses

TaxonomyCodeLicense
Non-Pharmacy Dispensing Site Primary 332900000XG84807 (CA)

Non-Pharmacy Dispensing Site: A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

3 other providers at this address

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About NPI 1265661441

South Bay Sports and Preventive Medicine Associates, Inc.'s National Provider Identifier is 1265661441, issued on Jul 8, 2009. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in San Jose, CA. The record was last updated on Jul 8, 2009.