ANSON MEDICAL INC NPI 1083051080

NPI Information

NPI: 1083051080
Provider Name: ANSON MEDICAL INC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 05D0705839

Address:
2350 MCKEE RD
STE 1
SAN JOSE, CA
ZIP 95116
Phone: (408) 729-3232
Get Directions

ANSON MEDICAL INC is a primary care clinic center in San Jose, CA. ANSON MEDICAL INC NPI is 1083051080. The provider is registered as an organization entity type.

The provider's business location address is:

2350 MCKEE RD
STE 1
SAN JOSE, CA
ZIP 95116-606
Phone: (408) 729-3232
Fax: (408) 729-2165

The provider's authorized official is Marie Anson-rebong .
The authorized official title is Owner and has the following contact phone number (408) 729-3232.

The CLIA number assigned to this NPI record is 05D0705839 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/30/2013 and was last updated on 11/3/2014.

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	261QP2300X	Clinic/Center	Primary Care	A045814	CALIFORNIA	Yes

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

NPI Synchronization or Removal

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