San Jose Pacific Neurology Cntr Prof Cor in San Jose - Psychiatry
San Jose Pacific Neurology Cntr Prof Cor - NPI 1124174297
San Jose Pacific Neurology Cntr Prof Cor is a Psychiatry in San Jose, California. San Jose Pacific Neurology Cntr Prof Cor practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for San Jose Pacific Neurology Cntr Prof Cor is 1124174297. The last update date is 2020-03-10.
San Jose Pacific Neurology Cntr Prof Cor's current location address is 200 Jose Figueres Ave Ste 200, San Jose, California. You can contact this provider via phone number 4083471600 and fax number 4083470600. The mailing address for San Jose Pacific Neurology Cntr Prof Cor is 200 Jose Figueres Ave Ste 200, San Jose, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | San Jose Pacific Neurology Cntr Prof Cor |
|---|---|
| Address | 200 Jose Figueres Ave Ste 200, San Jose, California |
| Phone Number | 4083471600 |
| Fax Number | 4083470600 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | M.D |
|---|---|
| Authorized Official Name | Gupta Raj |
| Credentials | M.D |
| Telephone Number | 4083471600 |
NPI Number Detail
| NPI Number | 1124174297 |
|---|---|
| Provider Enumeration Date | 2007-01-25 |
| Last Updated Date | 2020-03-10 |
Provider Mailing Address Detail
| Address | 200 Jose Figueres Ave Ste 200 |
|---|---|
| City | San Jose |
| State | California (CA) |
| Post Code | 951161586 |
| Phone Number | 4083471600 |
| Fax Number | 4083470600 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
| Licence No | A93854 |
|
Definition: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment |
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What is the unique identifier code issued to San Jose Pacific Neurology Cntr Prof Cor by the Centers for Medicare & Medicaid Services (CMS)?
The San Jose Pacific Neurology Cntr Prof Cor has been assigned the NPI (National Provider Identifier) 1124174297. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where San Jose Pacific Neurology Cntr Prof Cor's facilities are geographically located?
The facilities of San Jose Pacific Neurology Cntr Prof Cor are physically situated at the following location: 200 Jose Figueres Ave Ste 200, San Jose, CA, 951161586.
What is San Jose Pacific Neurology Cntr Prof Cor's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The San Jose Pacific Neurology Cntr Prof Cor's specialized field of practice is Psychiatry, and the corresponding taxonomy code that categorizes this area of specialization is 2084P0800X.
On what date did the Centers for Medicare & Medicaid Services issue the 1124174297 to San Jose Pacific Neurology Cntr Prof Cor?
The San Jose Pacific Neurology Cntr Prof Cor received its 1124174297 assignment from the Centers for Medicare & Medicaid Services on 2007-01-25.
As of what date were the San Jose Pacific Neurology Cntr Prof Cor's details last updated?
The information pertaining to the San Jose Pacific Neurology Cntr Prof Cor, including its address, specialty, and other details, was most recently updated on 2020-03-10.