Organization · Type 2 NPI

Evergreen Hills Medical Group

Medical Specialty Clinic/Center · San Jose, CA

NPI number 1396949822 Active

Practice location

2690 S White Rd, Suite 200
San Jose, CA 95148-2076

Fax (408) 223-7779

Specialties and licenses

TaxonomyCodeLicense
Medical Specialty Clinic/Center Primary 261QM2500XNone listed

Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

16 other providers at this address

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About NPI 1396949822

Evergreen Hills Medical Group's National Provider Identifier is 1396949822, issued on Jun 11, 2007. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in San Jose, CA. The record was last updated on Aug 22, 2020.