Organization
MINA SEHHAT MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MINA SEHHAT M.D. (CEO)
(408) 975-7680
Entity
Organization
Contact information
Practice address
2101 FOREST AVE, SUITE # 104, SAN JOSE, CA 95128-1448
(408) 975-7680
Mailing address
2101 FOREST AVE, SUITE # 104, SAN JOSE, CA 95128-1448
(408) 975-7680
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
A63182
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A631820
—
CA
Enumeration date
10/13/2011
Last updated
10/13/2011
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