# HEALTHTAP MEDICAL GROUP, PC

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

## Provider details

- **NPI number:** 1932792041
- **Authorized official:** MR. MICHAEL NICHOLS JD (ASSISTANT SECRETARY)
- **Authorized official phone:** (650) 268-9806

## Contact information

- **Practice address:** 4370 ALPINE ROAD, STE 206, PORTOLA VALLEY, CA 94028-7953
- **Practice address phone:** (650) 268-9806
- **Mailing address:** 209 E JAVA DR, UNIT 61987, SUNNYVALE, CA 94088-8020
- **Mailing address phone:** (650) 268-9806

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/19/2021
- **Last updated:** 09/16/2024