Organization
SARATOGA MEDICAL CLINIC INC
Active
Other names
Saratoga Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT S VENABLE M.D. (MEDICAL DIRECTOR)
(408) 243-6911
Entity
Organization
Contact information
Practice address
1060 SARATOGA AVE, SAN JOSE, CA 95129-3402
(408) 243-6911
(408) 243-6941
Mailing address
1060 SARATOGA AVE, SAN JOSE, CA 95129-3402
(408) 243-6911
(408) 243-6941
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
C42512
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C42512
PHYSICIAN AND SURGEON CERTIFICATE
CA
01
—
PTAN DF676A
MEDICARE GROUP PTAN
CA
Enumeration date
08/10/2006
Last updated
04/04/2012
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