Individual
JOHN ONOFE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
65 N 14TH ST, SAN JOSE, CA 95112-6207
(408) 809-9000
Mailing address
5758 TOURNAMENT CT, TRACY, CA 95377-8986
(510) 512-3305
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
11/09/2023
Last updated
11/09/2023
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