Organization
PHYSICIANS MEDICAL GROUP OF SAN JOSE, INC.
Active
Parent organization
MEDVANTX, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDVANTX, INC.
Authorized official
KENNY HEINE (DIRECTOR OF OPERATIONS)
(858) 625-2990
Entity
Organization
Contact information
Practice address
227 N JACKSON AVE, SAN JOSE, CA 95116-1603
(408) 347-2060
Mailing address
5626 OBERLIN DR, SUITE 110, SAN DIEGO, CA 92121-1705
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
BL2431966
CA
Other
Enumeration date
02/22/2007
Last updated
10/22/2012
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