Applebay Medical Group INC.
Family Medicine in San Jose, CA. Organization (NPI-2).
NPI number1821679648
StatusActive
Last updated in NPPESAug 7, 2022
Details
- NPI
- 1821679648
- Entity type
- Organization (NPI-2)
- Legal business name
- Applebay Medical Group INC.
- Organization subpart
- No
- Enumeration date
- Apr 15, 2021
- Certification date
- Aug 7, 2022
- Last updated
- Aug 7, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Practice location
1569 Lexann Ave Ste 204San Jose, CA 95121-1795
Phone 669-699-7778
Mailing address
1569 Lexann Ave Ste 204San Jose, CA 95121-1795
Phone 669-699-7778
Authorized official
Donald Pham
Medical Director
6696997778
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