Andres Antonio Maldonado
Student in an Organized Health Care Education/Training Program in San Jose, CA. Individual provider (NPI-1).
NPI number1164027090
StatusActive
Last updated in NPPESApr 7, 2026
Details
- NPI
- 1164027090
- Entity type
- Individual (NPI-1)
- Name
- Andres Antonio Maldonado
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 30, 2020
- Certification date
- Apr 7, 2026
- Last updated
- Apr 7, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | CA | Yes |
Practice location
751 S Bascom AveSan Jose, CA 95128-2699
Phone 408-885-5000
Mailing address
751 S Bascom AveSan Jose, CA 95128-2699
Phone 408-885-5000
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