Individual
ERNESTO MACHUCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
540 N 1ST ST, SAN JOSE, CA 95112-5319
(408) 510-3420
Mailing address
1035 PALM ST, SAN JOSE, CA 95110-3324
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
CA
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
11/17/2019
Last updated
06/03/2025
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