05D2226096 CLIA NUMBER - JONATHAN NG MD

Laboratory Demographics

CLIA Number: 05D2226096

Facility Name: JONATHAN NG MD

Facility Address:
206 MERIDIAN AVE
SAN JOSE, CA
ZIP 95126
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Facility Phone Number: 408 295-0514

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1710911011

Taxonomy: 207RC0000X - Internal Medicine
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

CLIA Record

Field Name	Field Value
CLIA Number	05D2226096
LAB Type	Physician Office
Facility Name	JONATHAN NG MD
Street	206 MERIDIAN AVE
City	SAN JOSE
State	CA
ZIP	95126
Phone	408 295-0514
CertificateType	4
CertificateEffectiveDate	5/26/2023
CertificateExpirationDate	5/25/2025
FacilityType	Waiver

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