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James Petros, M.D., INC.

Physical Medicine & Rehabilitation in San Leandro, CA. Organization (NPI-2).

NPI number1710620554
StatusActive
Last updated in NPPESApr 19, 2022

Details

NPI
1710620554
Entity type
Organization (NPI-2)
Legal business name
James Petros, M.D., INC.
Organization subpart
Yes
Enumeration date
Apr 19, 2022
Certification date
Apr 19, 2022
Last updated
Apr 19, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208100000X Physical Medicine & Rehabilitation––Yes
103TC0700X Psychologist, Clinical––
111N00000X Chiropractor––
171100000X Acupuncturist––
208VP0000X ––
225200000X Physical Therapy Assistant––
363A00000X Physician Assistant––

Other names

  • Allied Pain & Spine (Doing Business As)

Practice location

433 Estudillo Ave Ste 305
San Leandro, CA 94577-4915

Phone 408-528-8833 · Fax 408-827-4171

Mailing address

1604 Blossom Hill Rd Ste 10
San Jose, CA 95124-6350

Phone 408-528-8833

Authorized official

Michelle Waterstreet
Manager
4085288833

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