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MICHAEL M GOLD MD A PROFESSIONAL MEDICAL CORPORATION NPI 1376869404


NPI Information

NPI: 1376869404
Provider Name: MICHAEL M GOLD MD A PROFESSIONAL MEDICAL CORPORATION
Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

Address:
2585 SAMARITAN DR STE 303
SAN JOSE, CA
ZIP 95124
Phone: (408) 358-3458
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MICHAEL M GOLD MD A PROFESSIONAL MEDICAL CORPORATION is a medical specialty clinic center in San Jose, CA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). MICHAEL M GOLD MD A PROFESSIONAL MEDICAL CORPORATION NPI is 1376869404. The provider is registered as an organization entity type.

The provider's business location address is:

2585 SAMARITAN DR STE 303
SAN JOSE, CA
ZIP 95124-107
Phone: (408) 358-3458
Fax: (408) 356-6191

The provider's authorized official is Michael Martin Gold .
The authorized official title is President and has the following contact phone number (408) 358-3458.

The enumeration date for this NPI number is 4/14/2010 and was last updated on 11/9/2010.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM2500XClinic/CenterMedical SpecialtyG30699CALIFORNIAYes

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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