Organization
CANCER AND BLOOD CARE OF SAN JOSE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRIYA GOMATHI KUMARAVELU MD (PRESIDENT)
(408) 520-7919
Entity
Organization
Contact information
Practice address
175 N JACKSON AVE, SUITE 209, SAN JOSE, CA 95116-1909
(408) 520-7919
(408) 516-9985
Mailing address
175 N JACKSON AVE, SUITE 209, SAN JOSE, CA 95116-1909
(408) 520-7919
(408) 516-9985
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
A100993
CA
Other
Enumeration date
03/04/2016
Last updated
04/27/2017
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