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05D0706090 CLIA NUMBER - GUANZON MEDICAL OFFICE, INC

Laboratory Demographics

CLIA Number: 05D0706090

Facility Name: GUANZON MEDICAL OFFICE, INC

Facility Address:
2395 MONTPELIER DRIVE, SUITE 4
SAN JOSE, CA
ZIP 95116
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Facility Phone Number: 408 272-3041

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1174644835

Taxonomy: 207R00000X - Internal Medicine
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.

CLIA Record

Field Name Field Value
CLIA Number 05D0706090
LAB Type Physician Office
Facility Name GUANZON MEDICAL OFFICE, INC
Street 2395 MONTPELIER DRIVE, SUITE 4
City SAN JOSE
State CA
ZIP 95116
Phone 408 272-3041
CertificateType 4
CertificateEffectiveDate 10/13/2022
CertificateExpirationDate 10/12/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024