Organization
DAVITA NEPHROLOGY MEDICAL ASSOCIATES OF CA INC
Active
Other names
South Bay Kidney and Hypertension Consultants Inc
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY E GABRIEL MD (OWNER PRESIDENT)
(408) 885-0690
Entity
Organization
Contact information
Practice address
125 CIRO AVE, STE 110, SAN JOSE, CA 95128-1671
(408) 885-0690
(408) 885-1503
Mailing address
125 CIRO AVE, STE 110, SAN JOSE, CA 95128-1671
(408) 885-0690
(408) 885-1503
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1275719932
—
CA
01
—
ZZZ04539Z
MEDICARE - GROUP
CA
Enumeration date
01/12/2008
Last updated
07/21/2022
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