Organization
SVETLANA DANI MD INC
Active
Other names
Skyline Sports Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
SVETLANA DANI MD (OWNER)
(408) 559-3889
Entity
Organization
Contact information
Practice address
2430 SAMARITAN DR, SAN JOSE, CA 95124-3907
(408) 559-3888
Mailing address
2430 SAMARITAN DR, SAN JOSE, CA 95124-3907
(408) 559-3889
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
2080S0010X
Pediatric Sports Medicine Physician
—
—
Other
Enumeration date
07/13/2020
Last updated
11/25/2020
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