| NPI | 1962560896 |
|---|---|
| Doing Business As | SAN JOSE MUILTISPECIALTY MEDICAL GROUP,INC |
| Entity Type | Organization |
| Authorized Contact | JOSE DALIO BERGANZA President 626-337-0424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A055611) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA A37324) |
| 207V00000X Obstetrics & Gynecology (Licence: CA 524415) | |
| 207V00000X Obstetrics & Gynecology (Licence: CA 557547) | |
| 208000000X Pediatrics (Licence: CA A45608) | |
| 208000000X Pediatrics (Licence: CA PA12379) | |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2008-01-09 |