Angel M. San Jose, M.D., P.C.

LBN: Angel M. San Jose, M.D., P.C.
Angel M. San Jose, M.D., P.C. is an health care organization with primary practice located at Rr 5 Box 20 Suite 207, Grundy VA 24614-9611. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Angel M. San Jose, M.D., P.C. can be contacted via phone (276) 935-1168, or through San Jose, Angel M via phone (276) 935-1168.

Contact Information

Primary practice address
Rr 5 Box 20 Suite 207 Grundy VA 24614-9611
Phone: (276) 935-1168
Fax: (276) 935-1343
Website:
Map and Directions
Authorized official contact:
Name: San Jose, Angel M Doctor of Medicine (MD)
Phone: (276) 935-1168

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 0101238113 Virginia

Profile Details

NPI number 1437170354
LBN Legal business name Angel M. San Jose, M.D., P.C.
DBA Doing business as
Authorized official San Jose, Angel M Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 23rd, 2006
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1437170354 NPPES
Kentucky MEDICAID 64113434
Kentucky Other 187487
Kentucky MEDICAID 3810003447

Popular Providers