NPI | 1205320868 |
---|---|
Former Legal Business Name | SOUTH BAY MEDICAL CLINIC OF SAN JOSE |
Doing Business As | SOUTH BAY MEDICAL CLINIC OF SAN JOSE |
Entity Type | Organization |
Authorized Contact | TRI MINH DO Medical Director 408-835-9601 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A53379) |
2085R0203X Radiology, Therapeutic Radiology | |
Enumeration Date | 2018-06-18 |
Last Update Date | 2023-09-06 |