Organization
SOUTH BAY SPORTS AND PREVENTIVE MEDICINE ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA GUARMO M.D. (OWNER/SECRETARY)
(408) 293-7767
Entity
Organization
Contact information
Practice address
455 OCONNOR DRIVE, SUITE 150, SAN JOSE, CA 95128
(408) 293-7767
(408) 294-6595
Mailing address
455 OCONNOR DRIVE, SUITE 150, SAN JOSE, CA 95128
(408) 293-7767
(408) 294-6595
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
G84807
CA
Other
Enumeration date
07/08/2009
Last updated
07/08/2009
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