Organization
WEST VALLEY THMACCESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNAH HUONGCANG LE (CEO)
(408) 784-4263
Entity
Organization
Contact information
Practice address
10521 POTTS WAY, APT/SUITE, SAN JOSE, CA 95111-3330
(408) 784-4263
(408) 890-4775
Mailing address
10521 POTTS WAY, APT/SUITE, SAN JOSE, CA 95111-3330
(408) 784-4263
(408) 890-4775
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
CA
343800000X
Secured Medical Transport (VAN)
—
CA
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
CA
Other
Enumeration date
09/17/2013
Last updated
09/17/2013
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