Organization
FOREST MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NINA A BREDA (OFFICE MANAGER)
(408) 559-1866
Entity
Organization
Contact information
Practice address
3803 S BASCOM AVE, SUITE 210, CAMPBELL, CA 95008-7317
(408) 559-1866
(408) 559-1868
Mailing address
3803 S BASCOM AVE, SUITE 210, CAMPBELL, CA 95008-7317
(408) 559-1866
(408) 559-1868
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A24232
CA
Other
Enumeration date
07/19/2007
Last updated
01/13/2012
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