South Bay Sports and Preventive Medicine Associates, Inc
South Bay Sports and Preventive Medicine Associates, Inc is a Non-Pharmacy Dispensing Site in San Jose, California. Licensed in California. Registered with an NPI since 2009.
- Licensed in
- CA
- In the registry since
- 2009
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
455 Oconnor Dr Ste 150San Jose, CA 95128
Phone: (408) 293-7767
Fax: (408) 294-6595
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Non-Pharmacy Dispensing Site (primary) | Taxonomy 332900000X · Licence A54870 (CA) |
|---|
Record details
| NPI number | 1811126097 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Chris Chung — Owner/Treasurer · (408) 293-7767 |
| NPI enumerated | July 8, 2009 |
| Last updated in NPPES | July 8, 2009 |
| Mailing address | 455 Oconnor Drive, Suite 150, San Jose, CA 95128 |
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South Bay Sports and Preventive Medicine Associates, Inc
455 Oconnor Dr Ste 150, San Jose, CA 95128 · (408) 293-7767
-
South Bay Sports and Preventive Medicine Associates, Inc
455 Oconnor Dr Ste 150, San Jose, CA 95128 · (408) 293-7767
-
W Gordon Walker, MD
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