Organization
BAY AREA COMMUNITY DIABETES EDUCATORS LLC
Active
Other names
Bay Area CDE
Organization subpart
No
Provider details
NPI number
Authorized official
CHIANG LAM (PRESIDENT)
(408) 998-2325
Entity
Organization
Contact information
Practice address
1150 S BASCOM AVE, STE 26, SAN JOSE, CA 95128-3509
(408) 998-2325
(408) 998-2022
Mailing address
1150 S BASCOM AVE, STE 26, SAN JOSE, CA 95128-3509
(408) 998-2325
(408) 998-2022
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
2091-0313
CA
133V00000X
Registered Dietitian
Primary
931788
CA
163WD0400X
Diabetes Educator Registered Nurse
153880
CA
Other
Enumeration date
10/27/2009
Last updated
05/29/2015
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