# MICHAEL M GOLD MD A PROFESSIONAL MEDICAL CORPORATION

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

## Provider details

- **NPI number:** 1376869404
- **Authorized official:** DR. MICHAEL MARTIN GOLD M.D. (PRESIDENT)
- **Authorized official phone:** (408) 358-3458

## Contact information

- **Practice address:** 2585 SAMARITAN DR STE 303, SAN JOSE, CA 95124-4107
- **Practice address phone:** (408) 358-3458
- **Practice address fax:** (408) 356-6191
- **Mailing address:** 2585 SAMARITAN DR STE 303, SAN JOSE, CA 95124-4107
- **Mailing address phone:** (408) 358-3458
- **Mailing address fax:** (408) 356-6191

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | G30699 | CA | Yes |

## Other

- **Enumeration date:** 04/14/2010
- **Last updated:** 11/09/2010