EVERGREEN MEDICAL GROUP INC. NPI 1508159294

NPI Information

NPI: 1508159294
Provider Name: EVERGREEN MEDICAL GROUP, INC.
Classification: Internal Medicine - 207RR0500X
Entity Type: Organization

Specialization: Rheumatology

Address:
2690 S WHITE RD STE 50
SAN JOSE, CA
ZIP 95148
Phone: (408) 223-7000
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EVERGREEN MEDICAL GROUP, INC. is a rheumatology internal medicine in San Jose, CA. The provider is an internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases. EVERGREEN MEDICAL GROUP, INC. NPI is 1508159294. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2690 S WHITE RD STE 50
SAN JOSE, CA
ZIP 95148-075
Phone: (408) 223-7000
Fax: (408) 223-7001

The provider's authorized official is Lily Kao .
The authorized official title is Physician and has the following contact phone number (408) 223-7000.

The enumeration date for this NPI number is 5/27/2011 and was last updated on 3/5/2012.

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	207RR0500X	Internal Medicine	Rheumatology	A100943	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: 4/28/2024

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