Organization
JULIAN STREET MEDICAL & MENTAL HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STAN SHARMA PHD (MANAGER)
(661) 254-6630
Entity
Organization
Contact information
Practice address
804 E JULIAN ST, SAN JOSE, CA 95112-1876
(408) 975-6270
(408) 975-6277
Mailing address
26460 SUMMIT CIR, SANTA CLARITA, CA 91350-2991
(661) 254-6630
(661) 254-6644
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
—
CA
Other
Enumeration date
03/11/2014
Last updated
03/11/2014
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