Individual
DR. DEBORAH S WACHS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1101 S WINCHESTER BLVD, SUITE O-282, SAN JOSE, CA 95128-3901
(925) 867-1800
(925) 901-1481
Mailing address
100 PARK PLACE, SUITE 200, SAN RAMON, CA 94583
(925) 867-1800
(925) 275-0933
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A77813
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A778130
—
CA
Enumeration date
07/09/2006
Last updated
03/10/2014
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