Organization
SOUTH BAY HOUSE-CALL DOCTOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VINCENT LE D.O. (PHYSICIAN)
(408) 835-9977
Entity
Organization
Contact information
Practice address
2683 MIGNON DR, SAN JOSE, CA 95132-2118
(408) 835-9977
(800) 818-0931
Mailing address
2683 MIGNON DR, SAN JOSE, CA 95132-2118
(408) 835-9977
(800) 818-0931
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
20A8549
CA
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
20A8549
CA
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
20A8549
CA
Other
Enumeration date
01/16/2011
Last updated
01/16/2011
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