| NPI | 1578831764 |
|---|---|
| Former Legal Business Name | SV PRIMARY MEDICAL GROUP, P.C. |
| Entity Type | Organization |
| Authorized Contact | RICHARD ORNELAS Medical Director 408-866-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine |
| Enumeration Date | 2011-12-02 |
| Last Update Date | 2021-02-17 |