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Organization

HEALTHSPARK MEDICAL GROUP WEST PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STEPHEN GRINICH (OPERATIONS ADMINISTRATOR)
(415) 704-7979
Entity
Organization

Contact information

Practice address
325 S 1ST ST STE 120, SAN JOSE, CA 95113-2824
(415) 704-7979
Mailing address
325 S 1ST ST STE 120, SAN JOSE, CA 95113-2824

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary

Other

Enumeration date
02/10/2025
Last updated
11/20/2025
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