# PETER BADUA PAC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073816765
- **Authorized official:** MR. CHARLES DAMON FRACH PHD (OFFICE MANAGER)
- **Authorized official phone:** (408) 984-2455

## Contact information

- **Practice address:** 53 CRONIN DR, SANTA CLARA, CA 95051-6719
- **Practice address phone:** (408) 984-2455
- **Practice address fax:** (408) 984-2456
- **Mailing address:** 53 CRONIN DR, SANTA CLARA, CA 95051-6719
- **Mailing address phone:** (408) 984-2455
- **Mailing address fax:** (408) 984-2456

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WR0006X | Registered Nurse First Assistant | — | NULL | Yes |
| 163WR0006X | Registered Nurse First Assistant | — | — | Yes |
| 314000000X | Skilled Nursing Facility | — | NULL | — |

## Other

- **Enumeration date:** 12/18/2010
- **Last updated:** 12/18/2010