Individual
EVA MORTENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
900 KIELY BLVD, SANTA CLARA, CA 95051-5329
(408) 236-6400
Mailing address
1800 HARRISON ST FL 7, OAKLAND, CA 94612-3429
(510) 625-6262
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A93548
CA
207RI0200X
Infectious Disease Physician
Primary
A93548
CA
Other
Enumeration date
11/17/2006
Last updated
10/21/2014
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