Organization · NPI-2

Ansible Health Medical Group Of California PC

Internal Medicine, Pulmonary Disease · Mountain View, CA

NPI number1245092618

StatusActive

Last updated in NPPESDec 16, 2024

Details

NPI: 1245092618
Entity type: Organization (NPI-2)
Legal business name: Ansible Health Medical Group Of California PC
Organization subpart: No
Enumeration date: Jan 30, 2024
Certification date: Dec 16, 2024
Last updated: Dec 16, 2024

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207RP1001X	Internal Medicine, Pulmonary Disease	–	–	Yes
163W00000X	Registered Nurse	–	–
207R00000X	Internal Medicine	–	–
224Y00000X	Clinical Exercise Physiologist	–	–
225100000X	Physical Therapist	–	–
227800000X	Respiratory Therapist, Certified	–	–
227900000X	Respiratory Therapist, Registered	–	–
363L00000X	Nurse Practitioner	–	–

Practice location

229 Polaris Ave Ste 10
Mountain View, CA 94043-4579

Phone 877-267-4253

Mailing address

1032 E Brandon Blvd # 4253
Brandon, FL 33511-5509

Phone 877-267-4253

Authorized official

Rj Aggabao
Credentialing Lead
6507614724

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