# SVETLANA DANI MD INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Skyline Sports Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427676873
- **Authorized official:** SVETLANA DANI MD (OWNER)
- **Authorized official phone:** (408) 559-3889

## Contact information

- **Practice address:** 2430 SAMARITAN DR, SAN JOSE, CA 95124-3907
- **Practice address phone:** (408) 559-3888
- **Mailing address:** 2430 SAMARITAN DR, SAN JOSE, CA 95124-3907
- **Mailing address phone:** (408) 559-3889

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | — | NULL | Yes |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | — | — | Yes |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |
| 2080S0010X | Pediatric Sports Medicine Physician | — | NULL | — |
| 2080S0010X | Pediatric Sports Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 07/13/2020
- **Last updated:** 11/25/2020