Individual
DR. ASUNCION PURISIMA DISINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1057 WOODVIEW PL, SAN JOSE, CA 95120-3233
(408) 268-8027
Mailing address
1057 WOODVIEW PL, SAN JOSE, CA 95120-3233
(408) 268-8027
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
C39875
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D61827
MEDI-CAL UPIN
CA
Enumeration date
11/11/2012
Last updated
11/11/2012
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