Organization
TELEFAMILYDOC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEX MIRABADI MD (CEO)
(408) 354-6760
Entity
Organization
Contact information
Practice address
15195 NATIONAL AVE STE 205, LOS GATOS, CA 95032-2631
(408) 345-5494
(623) 666-6760
Mailing address
481 N SANTA CRUZ AVE STE 130, LOS GATOS, CA 95030-5300
(408) 345-5494
(623) 666-6760
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
08/21/2023
Last updated
09/18/2023
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