Organization
STEPHEN SIMS MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN JUSTIN SIMS M.D. (OWNER)
(408) 736-0677
Entity
Organization
Contact information
Practice address
877 W FREMONT AVE, SUITE B2, SUNNYVALE, CA 94087-2315
(408) 736-0677
Mailing address
877 W FREMONT AVE, SUITE B2, SUNNYVALE, CA 94087-2315
(408) 736-0677
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
G69269
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G692690
MEDICARE PHYSICIAN ID
CA
05
—
6283233
—
CA
Enumeration date
05/20/2013
Last updated
05/20/2013
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