Organization
ASPIRANET
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WESTON LANGE I LCSW (COMPANY OFFICER)
(209) 668-6188
Entity
Organization
Contact information
Practice address
588 BLOSSOM HILL RD, SAN JOSE, CA 95123-3200
(408) 728-0486
(408) 629-5709
Mailing address
588 BLOSSOM HILL RD, SAN JOSE, CA 95123-3200
(408) 728-0486
(408) 629-5709
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
MFC 51268
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51268
LMFC
CA
Enumeration date
11/18/2012
Last updated
11/18/2012
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