MANUEL R PANTIGA

SAN JOSE, CA
NPI1104944750
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC)
(Licence: CA  A38847)
Enumeration Date2007-03-26
Last Update Date2012-12-07
Business Address
-- MANUEL R PANTIGA M.D
100 OAK ST
SAN JOSE, CA 95110-2817
Phone number: 408-295-0980
Mailing Address
-- MANUEL R PANTIGA M.D
5671 SANTA TERESA BLVD SUITE 105
SAN JOSE, CA 95123-6512
Phone number: 408-284-2282
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