# METABOLIC NUTRITION PROGRAM

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1720292287
- **Authorized official:** MRS. JUDI TURETZKY (PROGRAM MANAGER)
- **Authorized official phone:** (408) 358-5326

## Contact information

- **Practice address:** 2505 SAMARITAN DRIVE, SUITE 405, SAN JOSE, CA 95124
- **Practice address phone:** (408) 358-5326
- **Practice address fax:** (408) 356-6923
- **Mailing address:** 2505 SAMARITAN DRIVE, SUITE 405, SAN JOSE, CA 95124
- **Mailing address phone:** (408) 358-5326
- **Mailing address fax:** (408) 356-6923

## Taxonomy

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

## Other

- **Enumeration date:** 05/10/2007
- **Last updated:** 08/22/2020