San Jose Pacific Neurology Cntr Prof Cor
San Jose Pacific Neurology Cntr Prof Cor is a Psychiatry Physician in San Jose, California. Licensed in California. Registered with an NPI since 2007.
- Licensed in
- CA
- In the registry since
- 2007
Practice location Address checks out
200 Jose Figueres Ave Ste 200San Jose, CA 95116-1586
Phone: (408) 347-1600
Fax: (408) 347-0600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatry Physician (primary) | Taxonomy 2084P0800X · Licence A93854 (CA) |
|---|
Record details
| NPI number | 1124174297 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Raj Gupta — M.D · (408) 347-1600 |
| NPI enumerated | January 25, 2007 |
| Last updated in NPPES | March 10, 2020 |
| Certification date | March 10, 2020 |
| Mailing address | 200 Jose Figueres Ave Ste 200, San Jose, CA 95116-1586 |
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