Individual
HARLEY NEGIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
625 LINCOLN AVE, SAN JOSE, CA 95126-3705
(408) 278-3620
(408) 278-3692
Mailing address
625 LINCOLN AVE, SAN JOSE, CA 95126-3785
(408) 278-3000
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
C36728
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C367280
—
CA
Enumeration date
09/02/2006
Last updated
06/18/2020
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