Organization
SAN JOSE MOTHERS' MILK BANK
Active
Parent organization
SAN JOSE MOTHERS' MILK BANK
Organization subpart
Yes
Provider details
NPI number
Legal business name
SAN JOSE MOTHERS' MILK BANK
Authorized official
MS. PAULINE SAKAMOTO (EXECUTIVE DIRECTOR)
(408) 998-4550
Entity
Organization
Contact information
Practice address
1887 MONTEREY HWY, SUITE 110, SAN JOSE, CA 95112-6117
(408) 998-4550
(408) 297-9208
Mailing address
1887 MONTEREY HWY, SUITE 110, SAN JOSE, CA 95112-6117
(408) 998-4550
(408) 297-9208
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MMB000020
—
CA
Enumeration date
05/26/2011
Last updated
04/24/2017
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