Metabolic Nutrition Program in San Jose - Medical Specialty
Metabolic Nutrition Program - NPI 1720292287
Metabolic Nutrition Program is a Medical Specialty in San Jose, California. Metabolic Nutrition Program practices all healthcare services and medical treatments related to Medical Specialty. The NPI Number for Metabolic Nutrition Program is 1720292287. The last update date is 2020-08-22.
Metabolic Nutrition Program's current location address is 2505 Samaritan Drive, San Jose, California. You can contact this provider via phone number 4083585326 and fax number 4083566923. The mailing address for Metabolic Nutrition Program is 2505 Samaritan Drive, San Jose, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Metabolic Nutrition Program |
|---|---|
| Address | 2505 Samaritan Drive, San Jose, California |
| Phone Number | 4083585326 |
| Fax Number | 4083566923 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PROGRAM MA |
|---|---|
| Authorized Official Name | Turetzky Judi |
| Telephone Number | 4083585326 |
NPI Number Detail
| NPI Number | 1720292287 |
|---|---|
| Provider Enumeration Date | 2007-05-10 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 2505 Samaritan Drive |
|---|---|
| City | San Jose |
| State | California (CA) |
| Post Code | 95124 |
| Phone Number | 4083585326 |
| Fax Number | 4083566923 |
Provider's Primary Taxonomy Detail
| Speciality | Medical Specialty |
|---|---|
| Taxonomy | 261Qm2500X |
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Definition: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Metabolic Nutrition Program by the Centers for Medicare & Medicaid Services?
The Metabolic Nutrition Program has been issued the NPI (National Provider Identifier) 1720292287 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 Metabolic Nutrition Program is physically located?
The Metabolic Nutrition Program is situated at the following address: 2505 Samaritan Drive, San Jose, CA 95124.
What is Metabolic Nutrition Program's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Metabolic Nutrition Program's specialized field of practice is Medical Specialty, and the corresponding taxonomy code that categorizes this area of specialization is 261Qm2500X.
On what date did the Centers for Medicare & Medicaid Services assign the 1720292287 to Metabolic Nutrition Program?
The Centers for Medicare & Medicaid Services assigned the 1720292287 to Metabolic Nutrition Program on 2007-05-10.
As of what date were the details pertaining to Metabolic Nutrition Program last refreshed?
The information related to the Metabolic Nutrition Program, including its address, specialty, and other relevant details, was last updated on 2020-08-22.