Organization
CENTRAL CALIFORNIA INTENSIVIST SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELWOOD PAUL REID MD (PRESIDENT)
(866) 885-5522
Entity
Organization
Contact information
Practice address
225 N JACKSON AVE, SAN JOSE, CA 95116-1603
(408) 259-5000
Mailing address
PO BOX 79642, CITY OF INDUSTRY, CA 91716-9642
(330) 470-3700
(330) 497-7940
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
06/25/2008
Last updated
04/18/2011
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