MARIE ANSON-REBONG NPI 1528406287

NPI Information

NPI: 1528406287
Provider Name: MARIE ANSON-REBONG
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
2350 MCKEE RD
SUITE 1
SAN JOSE, CA
ZIP 95116
Phone: (408) 729-3232
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MARIE ANSON-REBONG is a primary care clinic center in San Jose, CA. MARIE ANSON-REBONG NPI is 1528406287. The provider is registered as an organization entity type.

The provider's business location address is:

2350 MCKEE RD
SUITE 1
SAN JOSE, CA
ZIP 95116-606
Phone: (408) 729-3232
Fax: (408) 729-3232

The provider's authorized official is Marie Anson-rebong .
The authorized official title is Owner and has the following contact phone number (408) 729-3232.

The enumeration date for this NPI number is 6/4/2013 and was last updated on 10/30/2014.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	A45814	CALIFORNIA	Yes

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

NPI Synchronization or Removal

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