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 1811126097. 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 Chris E Chung .
The authorized official title is Owner/treasurer 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.