PACIFIC ENDOCRINE DIABETES HEALTH CENTER INC. NPI 1619188497

NPI Information

NPI: 1619188497
Provider Name: PACIFIC ENDOCRINE DIABETES HEALTH CENTER, INC.
Classification: Internal Medicine - 207RE0101X
Entity Type: Organization

Specialization: Endocrinology, Diabetes & Metabolism

Address:
25 N 14TH ST STE 920
SAN JOSE, CA
ZIP 95112
Phone: (408) 993-8764
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PACIFIC ENDOCRINE DIABETES HEALTH CENTER, INC. is an endocrinology and diabetes and metabolism internal medicine in San Jose, CA. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. PACIFIC ENDOCRINE DIABETES HEALTH CENTER, INC. NPI is 1619188497. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

25 N 14TH ST STE 920
SAN JOSE, CA
ZIP 95112-216
Phone: (408) 993-8764

The provider's authorized official is Ming Li .
The authorized official title is Ceo and has the following contact phone number (408) 993-8764.

The enumeration date for this NPI number is 5/24/2007 and was last updated on 12/12/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RE0101X	Internal Medicine	Endocrinology, Diabetes & Metabolism			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	ZZZ02275Z	MEDICARE ID-TYPE UNSPECIFIED

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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