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Organization
SOUTH BAY MEDICAL CLINIC OF SAN JOSE
Active
Organization
SOUTH BAY MEDICAL CLINIC OF SAN JOSE
Active
Other names
South Bay Medical Clinic of San Jose, South Bay Medical Clinic of San Jose
Organization subpart
No
Provider details
NPI number
Authorized official
TRI MINH DO MD (MEDICAL DIRECTOR)
(408) 835-9601
Entity
Organization
Contact information
Practice address
200 JOSE FIGUERES AVE STE 260, SAN JOSE, CA 95116-1555
(408) 251-0835
(408) 770-3314
Mailing address
5091 MITTY WAY BAY MEDICAL, SAN JOSE, CA 95129-1849
(408) 835-9601
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A53379
CA
207R00000X
Internal Medicine Physician
Primary
—
—
2085R0203X
Therapeutic Radiology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1619930260
NPI
CA
05
—
A55472
—
CA
01
—
H44307
UPIN
—
Enumeration date
06/18/2018
Last updated
09/06/2023
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