Organization
AFPMG INC
Active
Other names
Almaden Family Physicians
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID W MCCULLOUGH MD (PRESIDENT)
(408) 997-9155
Entity
Organization
Contact information
Practice address
6475 CAMDEN AVE, SUITE 105, SAN JOSE, CA 95120
(408) 997-9155
(408) 997-9106
Mailing address
PO BOX 20700, SAN JOSE, CA 95160
(408) 997-9155
(408) 997-9106
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
A63442
CA
207Q00000X
Family Medicine Physician
A94465
CA
207Q00000X
Family Medicine Physician
C25075
CA
207Q00000X
Family Medicine Physician
Primary
G57420
CA
207Q00000X
Family Medicine Physician
G57512
CA
207Q00000X
Family Medicine Physician
G62536
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A53296
JEFFREY C ETTINGER MD
—
Enumeration date
05/09/2006
Last updated
08/22/2020
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