Organization
ANSIBLE HEALTH MEDICAL GROUP OF CALIFORNIA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RJ AGGABAO (CREDENTIALING LEAD)
(650) 761-4724
Entity
Organization
Contact information
Practice address
229 POLARIS AVE STE 10, MOUNTAIN VIEW, CA 94043-4579
(877) 267-4253
Mailing address
1032 E BRANDON BLVD # 4253, BRANDON, FL 33511-5509
(877) 267-4253
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
207R00000X
Internal Medicine Physician
—
—
207RP1001X
Pulmonary Disease Physician
Primary
—
—
224Y00000X
Clinical Exercise Physiologist
—
—
225100000X
Physical Therapist
—
—
227800000X
Certified Respiratory Therapist
—
—
227900000X
Registered Respiratory Therapist
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
01/30/2024
Last updated
12/16/2024
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