Organization
BAYSIDE MEDICAL AND NURSING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KUSUM REGMI (NP)
(650) 404-7682
Entity
Organization
Contact information
Practice address
1571 BROOKVALE DR APT 1, SAN JOSE, CA 95129-4623
(650) 404-7682
Mailing address
1571 BROOKVALE DR APT 1, SAN JOSE, CA 95129-4623
(650) 404-7682
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/26/2024
Last updated
09/29/2024
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