Organization
INTERNATIONAL COMMUNITY HEALTHCARE RESOURCE, INC
Active
Other names
Milpitos adult day health center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TAE KYUNG KIM D.C. (ADMINISTRATOR)
(408) 719-1004
Entity
Organization
Contact information
Practice address
1533 CALIFORNIA CIR, #100, MILPITAS, CA 95035-8101
(408) 719-1004
(408) 719-1094
Mailing address
1533 CALIFORNIA CIR, #100, MILPITAS, CA 95035-8101
(408) 719-1004
(408) 719-1094
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ADU70406F
—
CA
Enumeration date
02/04/2008
Last updated
02/04/2008
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