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Organization
HAMILTON AVENUE MEDICAL GROUP, INC.
Active
Organization
HAMILTON AVENUE MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEAN LUONG M.D. (PRESIDENT)
(408) 279-8171
Entity
Organization
Contact information
Practice address
295 OCONNOR DR, SAN JOSE, CA 95128-1624
(408) 279-8171
(408) 279-0412
Mailing address
295 OCONNOR DR, SAN JOSE, CA 95128-1624
(408) 279-8171
(408) 279-0412
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A48809
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZZ73614Z
—
CA
Enumeration date
04/25/2007
Last updated
07/22/2015
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