Individual
PATRICK MADRIAGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3097 MOORPARK AVE STE 100, SAN JOSE, CA 95128-2543
(669) 247-6170
Mailing address
3070 WOODS WAY, SAN JOSE, CA 95148-2645
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
49698
CA
Other
Enumeration date
09/03/2024
Last updated
09/04/2024
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