05D2005875 CLIA NUMBER - JOSELITO C CABACCAN, MD

Laboratory Demographics

CLIA Number: 05D2005875

Facility Name: JOSELITO C CABACCAN, MD

Facility Address:
2690 S WHITE RD STE 50
SAN JOSE, CA
ZIP 95148
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Facility Phone Number: 408 223-7000

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1801813720

Taxonomy: 207RE0101X - Internal Medicine
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

CLIA Record

Field Name Field Value
CLIA Number 05D2005875
LAB Type Physician Office
Facility Name JOSELITO C CABACCAN, MD
Street 2690 S WHITE RD STE 50
City SAN JOSE
State CA
ZIP 95148
Phone 408 223-7000
CertificateType 2
CertificateEffectiveDate 9/13/2021
CertificateExpirationDate 4/30/2024
FacilityType Compliance

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