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FOOTHILL MEDICAL CLINIC INC NPI 1417345323


NPI Information

NPI: 1417345323
Provider Name: FOOTHILL MEDICAL CLINIC INC
Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 05D0947079

Address:
10011 N FOOTHILL BLVD
SUITE #105
CUPERTINO, CA
ZIP 95014
Phone: (408) 366-0600
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FOOTHILL MEDICAL CLINIC INC is an internal medicine in Cupertino, CA. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. FOOTHILL MEDICAL CLINIC INC NPI is 1417345323. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

10011 N FOOTHILL BLVD
SUITE #105
CUPERTINO, CA
ZIP 95014-649
Phone: (408) 366-0600
Fax: (408) 366-0609

The provider's authorized official is Gabriel Jang-jyh Young .
The authorized official title is M.d. and has the following contact phone number (408) 366-0600.

The CLIA number assigned to this NPI record is 05D0947079 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/30/2014 and was last updated on 12/30/2014.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineYes

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: 4/28/2024

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