# MY INTEGRATIVE CARE

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

## Provider details

- **NPI number:** 1811776594
- **Authorized official:** STEPHANIE PHAN PSYD (CHIEF FINANCIAL OFFICER/OWNER)
- **Authorized official phone:** (408) 614-4854

## Contact information

- **Practice address:** 135 HAVERHILL CT, SAN JOSE, CA 95139-1223
- **Practice address phone:** (408) 772-0726
- **Mailing address:** 135 HAVERHILL CT, SAN JOSE, CA 95139-1223
- **Mailing address phone:** (408) 772-0726

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 09/22/2023
- **Last updated:** 11/28/2023