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Bay Area Neurocare, INC

Psychiatry & Neurology, Neurology in San Jose, CA. Organization (NPI-2).

NPI number1124270251
StatusActive
Last updated in NPPESMay 1, 2020

Details

NPI
1124270251
Entity type
Organization (NPI-2)
Legal business name
Bay Area Neurocare, INC
Organization subpart
No
Enumeration date
Oct 21, 2008
Certification date
May 1, 2020
Last updated
May 1, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2084N0400X Psychiatry & Neurology, Neurology––Yes

Practice location

2550 Samaritan Dr Ste F
San Jose, CA 95124-4104

Phone 408-216-8763 · Fax 408-416-3706

Mailing address

2550 Samaritan Dr Ste F
San Jose, CA 95124-4104

Phone 408-216-8763 · Fax 408-416-3706

Authorized official

Wei Wang
President
4082168763

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