Organization
CEP AMERICA - PSYCHIATRY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID BIRDSALL M.D (CHIEF OPERATIONS OFFICER)
(510) 350-2600
Entity
Organization
Contact information
Practice address
15891 LOS GATOS ALMADEN RD, LOS GATOS, CA 95032-3742
(408) 358-5604
Mailing address
1601 CUMMINS DR STE D, MODESTO, CA 95358-6411
(510) 350-2600
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
11/16/2018
Last updated
01/02/2020
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