# CANCER AND BLOOD CARE OF SAN JOSE INC

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

## Provider details

- **NPI number:** 1720448657
- **Authorized official:** DR. PRIYA GOMATHI KUMARAVELU MD (PRESIDENT)
- **Authorized official phone:** (408) 520-7919

## Contact information

- **Practice address:** 175 N JACKSON AVE, SUITE 209, SAN JOSE, CA 95116-1909
- **Practice address phone:** (408) 520-7919
- **Practice address fax:** (408) 516-9985
- **Mailing address:** 175 N JACKSON AVE, SUITE 209, SAN JOSE, CA 95116-1909
- **Mailing address phone:** (408) 520-7919
- **Mailing address fax:** (408) 516-9985

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | A100993 | CA | Yes |

## Other

- **Enumeration date:** 03/04/2016
- **Last updated:** 04/27/2017