Organization
LOMA VISTA OBGYN MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANJALI TATE M.D. (PRESIDENT)
(408) 358-1888
Entity
Organization
Contact information
Practice address
2577 SAMARITAN DR, 810, SAN JOSE, CA 95124-4100
(408) 358-1888
(408) 356-0877
Mailing address
2577 SAMARITAN DR, 810, SAN JOSE, CA 95124-4100
(408) 358-1888
(408) 356-0877
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
207V00000X
CA
Other
Enumeration date
06/02/2006
Last updated
08/22/2020
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