NPI: 1891175444
Provider Name: PHYSICIANS MEDICAL GROUP OF SAN JOSE, INC.
Doing Business As: PHYSICIANS MEDICAL URGENT CARE, INC.
Classification: Clinic/Center - 261QU0200X
Entity Type: Organization
Specialization: Urgent Care
CLIA Number: 05D2136284
Address:
1910 N CAPITOL AVE
SAN JOSE, CA
ZIP 95132
Phone: (888) 265-2120
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PHYSICIANS MEDICAL GROUP OF SAN JOSE, INC. is an urgent care clinic center in San Jose, CA. PHYSICIANS MEDICAL GROUP OF SAN JOSE, INC. NPI is 1891175444. The provider is registered as an organization entity type.
The provider Is Doing Business As Physicians Medical Urgent Care, Inc..
The provider's business location address is:
1910 N CAPITOL AVE
SAN JOSE, CA
ZIP 95132-019
Phone: (888) 265-2120
The provider's authorized official is Peter Goll .
The authorized official title is Ceo and has the following contact phone number (408) 937-3601.
The CLIA number assigned to this NPI record is 05D2136284 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 6/8/2015 and was last updated on 5/10/2017.