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Evergreen Medical Associates INC

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

NPI number1790718260
StatusActive
Last updated in NPPESSep 11, 2025

Details

NPI
1790718260
Entity type
Organization (NPI-2)
Legal business name
Evergreen Medical Associates INC
Organization subpart
No
Enumeration date
Jul 8, 2006
Last updated
Sep 11, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2084N0400X Psychiatry & Neurology, Neurology––Yes
207R00000X Internal Medicine––

Practice location

1642 E Capitol Expy
San Jose, CA 95121-1800

Phone 408-270-0112 · Fax 408-270-3386

Mailing address

1642 E Capitol Expy
San Jose, CA 95121-1800

Phone 408-270-0112 · Fax 408-270-3386

Authorized official

Lam Huu DO
Ceo
4082700112

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