San Jose Health Clinic, Llc in San Luis - Family Medicine

San Jose Health Clinic, Llc - NPI 1770753162

San Jose Health Clinic, Llc is a Family Medicine in San Luis, Arizona. San Jose Health Clinic, Llc practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for San Jose Health Clinic, Llc is 1770753162. The last update date is 2008-03-03.

San Jose Health Clinic, Llc's current location address is Po Box 1689, San Luis, Arizona. You can contact this provider via phone number 9287226098. The mailing address for San Jose Health Clinic, Llc is Po Box 1689, San Luis, Arizona. To know further, please read the information below!

Provider Profile Detail

Provider Organization San Jose Health Clinic, Llc
Address Po Box 1689, San Luis, Arizona
Phone Number 9287226098
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Piscoya M Jose
Credentials M.D.
Telephone Number 9287226098

NPI Number Detail

NPI Number 1770753162
Provider Enumeration Date 2008-03-03
Last Updated Date 2008-03-03

Provider Mailing Address Detail

Address Po Box 1689
City San Luis
State Arizona (AZ)
Post Code 853491689
Phone Number 9287226098
Fax Number

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 25569
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
838352 AZ --

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FAQs about San Jose Health Clinic, Llc

What is the unique 10-digit identifier code assigned to San Jose Health Clinic, Llc by the Centers for Medicare & Medicaid Services?

The San Jose Health Clinic, Llc has been issued the NPI (National Provider Identifier) 1770753162 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete address where San Jose Health Clinic, Llc is physically located?

The San Jose Health Clinic, Llc is situated at the following address: Po Box 1689, San Luis, AZ 853491689.

What is San Jose Health Clinic, Llc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for San Jose Health Clinic, Llc is Family Medicine, and the taxonomy code that classifies this field of practice is 207Q00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1770753162 to San Jose Health Clinic, Llc?

The Centers for Medicare & Medicaid Services assigned the 1770753162 to San Jose Health Clinic, Llc on 2008-03-03.

When was the information regarding San Jose Health Clinic, Llc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to San Jose Health Clinic, Llc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-03-03.

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