Organization
SERES PRIME HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL J REYES-VILLA M.D. (PRESIDENT)
(408) 702-0991
Entity
Organization
Contact information
Practice address
841 BLOSSOM HILL RD STE 215, SAN JOSE, CA 95123-2704
(408) 629-7095
(408) 281-8235
Mailing address
841 BLOSSOM HILL RD STE 215, SAN JOSE, CA 95123-2704
(408) 629-7095
(408) 281-8235
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
12/03/2019
Last updated
03/06/2020
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