# AFPMG INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Almaden Family Physicians
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568411221
- **Authorized official:** MR. DAVID W MCCULLOUGH MD (PRESIDENT)
- **Authorized official phone:** (408) 997-9155

## Contact information

- **Practice address:** 6475 CAMDEN AVE, SUITE 105, SAN JOSE, CA 95120
- **Practice address phone:** (408) 997-9155
- **Practice address fax:** (408) 997-9106
- **Mailing address:** PO BOX 20700, SAN JOSE, CA 95160
- **Mailing address phone:** (408) 997-9155
- **Mailing address fax:** (408) 997-9106

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | A63442 | CA | — |
| 207Q00000X | Family Medicine Physician | A94465 | CA | — |
| 207Q00000X | Family Medicine Physician | C25075 | CA | — |
| 207Q00000X | Family Medicine Physician | G57420 | CA | Yes |
| 207Q00000X | Family Medicine Physician | G57512 | CA | — |
| 207Q00000X | Family Medicine Physician | G62536 | CA | — |

## Other

- **Enumeration date:** 05/09/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | A53296 | JEFFREY C ETTINGER MD | — |