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MAUREEN D MINER M D A PROFESSIONAL CORPORATION NPI 1811934607


NPI Information

NPI: 1811934607
Provider Name: MAUREEN D MINER M D A PROFESSIONAL CORPORATION

Doing Business As: SOUTH COUNTY PAIN & REHAB

Classification: Rehabilitation Practitioner - 225400000X
Entity Type: Organization

CLIA Number: 05D1102470

Address:
7888 WREN AVE STE D143
GILROY, CA
ZIP 95020
Phone: (408) 842-9296
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MAUREEN D MINER M D A PROFESSIONAL CORPORATION is a rehabilitation practitioner in Gilroy, CA. The provider is a health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. MAUREEN D MINER M D A PROFESSIONAL CORPORATION NPI is 1811934607. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As South County Pain & Rehab.

The provider's business location address is:

7888 WREN AVE STE D143
GILROY, CA
ZIP 95020-966
Phone: (408) 842-9296

The provider's authorized official is Maureen Miner .
The authorized official title is Ceo and has the following contact phone number (408) 842-9296.

The CLIA number assigned to this NPI record is 05D1102470 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/1/2006 and was last updated on 8/17/2023.


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
1225400000XRehabilitation PractitionerYes

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: 5/5/2024

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