PRODIGY PSYCHIATRIC GROUP

SAN JOSE, CA
NPI1255990768
Entity TypeOrganization
Authorized ContactBEETA R VERMA
President
510-875-7721
Organization Subpart ?No
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
Additional Taxonomies2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry
Enumeration Date2019-06-08
Last Update Date2022-10-26
Business Address
PRODIGY PSYCHIATRIC GROUP
5791 CAPILANO DR
SAN JOSE, CA 95138-2364
Phone number: 408-630-1209
Mailing Address
PRODIGY PSYCHIATRIC GROUP
5791 CAPILANO DR
SAN JOSE, CA 95138-2364
Phone number: 510-875-7721