Organization
CAMINO MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD SLAVIN (CEO)
(408) 739-6000
Entity
Organization
Contact information
Practice address
20410 TOWN CENTER LN, SUITE F-150, CUPERTINO, CA 95014-3229
(408) 739-6000
Mailing address
301 OLD SAN FRANCISCO RD, SUNNYVALE, CA 94086-6386
(408) 739-6000
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GR009929D
MEDI CAL SITE NUMBER
CA
Enumeration date
05/26/2006
Last updated
08/22/2020
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