Organization
CENTER FOR DEVELOPING MINDS MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAMON RUSSELL KORB M.D. (DIRECTOR)
(408) 358-1853
Entity
Organization
Contact information
Practice address
15951 LOS GATOS BLVD, SUITE 6, LOS GATOS, CA 95032-3428
(408) 358-1853
Mailing address
22990 SCHULTIES RD, LOS GATOS, CA 95033-8703
(408) 358-1853
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
A62686
CA
Other
Enumeration date
03/16/2007
Last updated
08/22/2020
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