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PELLEGRIN BROAD MORSE & MOY MDS & DO NPI 1558354373


NPI Information

NPI: 1558354373
Provider Name: PELLEGRIN BROAD MORSE & MOY MDS & DO

Doing Business As: LOS GATOS FAMILY PHYSICIANS MEDICAL ASSOCIATES

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
143 E MAIN ST
LOS GATOS, CA
ZIP 95030
Phone: (408) 354-3920
Get Directions

PELLEGRIN BROAD MORSE & MOY MDS & DO is a family medicine in Los Gatos, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. PELLEGRIN BROAD MORSE & MOY MDS & DO NPI is 1558354373. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Los Gatos Family Physicians Medical Associates.

The provider's business location address is:

143 E MAIN ST
LOS GATOS, CA
ZIP 95030-903
Phone: (408) 354-3920
Fax: (408) 354-0782

The provider's authorized official is Susan Hanson .
The authorized official title is Office/financial Manager and has the following contact phone number (408) 354-4030.

The enumeration date for this NPI number is 8/26/2005 and was last updated on 5/22/2014.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207VX0000XObstetrics & GynecologyObstetricsG41377 G75242 A55016CALIFORNIANo
2207Q00000XFamily MedicineG41377 G67157 G75242CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1CJ4068OTHERRR MCR
2FNP22360OTHERFICT NAME PERMIT
3YYY50020YMEDICARE ID-TYPE UNSPECIFIED

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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