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Organization
SILICON VALLEY OB-GYN MEDICAL ASSOCIATES INC.
Active
Organization
SILICON VALLEY OB-GYN MEDICAL ASSOCIATES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH PHAN MD (CEO)
(408) 929-2680
Entity
Organization
Contact information
Practice address
150 N. JACKSON AVE #209, SAN JOSE, CA 95116
(408) 929-2680
(408) 929-4635
Mailing address
PO BOX 21827, SAN JOSE, CA 95151-1827
(408) 929-2680
(408) 929-4635
Taxonomy
Speciality
Code
Description
License number
State
207VC0200X
Critical Care Medicine (Obstetrics & Gynecology) Physician
Primary
—
NULL
207VC0200X
Critical Care Medicine (Obstetrics & Gynecology) Physician
Primary
—
—
261Q00000X
Clinic/Center
—
NULL
Other
Enumeration date
02/20/2007
Last updated
03/28/2019
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