CCCMA

MILLBRAE, CA
NPI1174955587
Entity TypeOrganization
Authorized ContactASH JAIN
CEO
510-796-0222
Organization Subpart ?No
Primary Taxonomy282E00000X 
(Licence: CA  22677)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: CA  22677)
Enumeration Date2013-08-07
Last Update Date2013-08-07
Business Address
CCCMA
1149 FERNWOOD DR
MILLBRAE, CA 94030-1011
Phone number: 650-302-5864
Mailing Address
CCCMA
27206 CALAROGA AVE
HAYWARD, CA 94545-4300
Phone number: