Organization
CALIFORNIA HOME DOC
Active
Other names
california home doc
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ABDELSALAM M MOGASBE MD (DOCTOR)
(408) 596-6278
Entity
Organization
Contact information
Practice address
4030 MOORPARK AVE, SUITE 251, SAN JOSE, CA 95117-4103
(408) 596-6278
Mailing address
4030 MOORPARK AVE, SUITE 251, SAN JOSE, CA 95117-4103
(408) 596-6278
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A97753
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
193400000X
TAXONAMY
CA
Enumeration date
10/20/2014
Last updated
10/20/2014
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