SOUTH BAY SPORTS AND PREVENTIVE MEDICINE ASSOCIATES INC. NPI 1265661441

NPI Information

SOUTH BAY SPORTS AND PREVENTIVE MEDICINE ASSOCIATES, INC. is a non pharmacy dispensing site in San Jose, CA. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) SOUTH BAY SPORTS AND PREVENTIVE MEDICINE ASSOCIATES, INC. NPI is 1265661441. The provider is registered as an organization entity type.

The provider's business location address is:

455 OCONNOR DRIVE
SUITE 150
SAN JOSE, CA
ZIP 95128
Phone: (408) 293-7767
Fax: (408) 294-6595

The provider's authorized official is Rebecca Guarmo .
The authorized official title is Owner/secretary and has the following contact phone number (408) 293-7767.

The enumeration date for this NPI number is 7/8/2009 and was last updated on 7/8/2009.

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:

Other Identifiers

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

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