San Jose Pacific Neurology Cntr Prof Cor
San Jose Pacific Neurology Cntr Prof Cor provides Psychiatry Physician services in San Jose, California. Licensed in California. Registered with an NPI since 2007.
- Licensed in
- CA
- In the registry since
- 2007
Practice location Address checks out
200 Jose Figueres Ave Ste 200San Jose, CA 95116-1586
Phone: (408) 347-1600
Fax: (408) 347-0600
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Specialties & licences
| Psychiatry Physician (primary) | Taxonomy 2084P0800X · Licence A93854 (CA) |
|---|
Record details
| NPI number | 1124174297 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Raj Gupta — M.D · (408) 347-1600 |
| NPI enumerated | January 25, 2007 |
| Last updated in NPPES | March 10, 2020 |
| Certification date | March 10, 2020 |
| Mailing address | 200 Jose Figueres Ave Ste 200, San Jose, CA 95116-1586 |
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