East Ivy Panacea Inc
East Ivy Panacea Inc provides Psychiatry Physician services in San Jose, California. Registered with an NPI since 2020.
- In the registry since
- 2020
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2516 Samaritan Dr Ste BSan Jose, CA 95124-4108
Phone: (408) 442-5326
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatry Physician (primary) | Taxonomy 2084P0800X |
|---|
Record details
| NPI number | 1184229577 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Sarbani Maitra — Ceo · (408) 442-5326 |
| Other names | Lumos Psychiatric Services |
| NPI enumerated | December 2, 2020 |
| Last updated in NPPES | December 2, 2020 |
| Certification date | December 2, 2020 |
| Mailing address | 16320 Alexander Ct, Monte Sereno, CA 95030-5204 |
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