Individual
DR. ADALID ACHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
886 GOOSE LAKE CT, SAN JOSE, CA 95123-2464
(408) 997-2699
Mailing address
886 GOOSE LAKE CT, SAN JOSE, CA 95123-2464
(408) 997-2699
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
A31088
AL
174400000X
Specialist
Primary
A31088
CA
Other
Enumeration date
08/09/2007
Last updated
08/09/2007
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