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Organization

HEALTHTAP MEDICAL GROUP, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL NICHOLS (ASSISTANT SECRETARY)
(650) 268-9806
Entity
Organization

Contact information

Practice address
4370 ALPINE ROAD, STE 206, PORTOLA VALLEY, CA 94028-7953
(650) 268-9806
Mailing address
209 E JAVA DR UNIT 61987, SUNNYVALE, CA 94088-8020
(650) 268-9806

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
208D00000X
General Practice Physician
Primary

Other

Enumeration date
02/19/2021
Last updated
09/16/2024
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