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CENTER FOR DEVELOPING MINDS MEDICAL CORPORATION NPI 1083748248


NPI Information

NPI: 1083748248
Provider Name: CENTER FOR DEVELOPING MINDS MEDICAL CORPORATION
Classification: Pediatrics - 2080P0006X
Entity Type: Organization

Specialization: Developmental - Behavioral Pediatrics

Address:
15951 LOS GATOS BLVD
SUITE 6
LOS GATOS, CA
ZIP 95032
Phone: (408) 358-1853
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CENTER FOR DEVELOPING MINDS MEDICAL CORPORATION is a developmental - behavioral pediatrics pediatrics in Los Gatos, CA. The provider is a developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development. CENTER FOR DEVELOPING MINDS MEDICAL CORPORATION NPI is 1083748248. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

15951 LOS GATOS BLVD
SUITE 6
LOS GATOS, CA
ZIP 95032-428
Phone: (408) 358-1853

The provider's authorized official is Damon Russell Korb .
The authorized official title is Director and has the following contact phone number (408) 358-1853.

The enumeration date for this NPI number is 3/16/2007 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12080P0006XPediatricsDevelopmental - Behavioral PediatricsA62686CALIFORNIAYes

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: 11/14/2023

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