Ativa Physical Medicine Pc

LBN: Ativa Physical Medicine Pc
Ativa Physical Medicine Pc is an health care organization with primary practice located at 4950 Hamilton Ave Ste 109 , San Jose CA 95130-1748. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as the primary health care specialty. Ativa Physical Medicine Pc can be contacted via phone (408) 256-3865, or through Ly, Tam via phone (408) 256-3865.

Contact Information

Primary practice address
4950 Hamilton Ave Ste 109 San Jose CA 95130-1748
Phone: (408) 256-3865
Fax: (408) 883-8171
Website:
Map and Directions
Authorized official contact:
Name: Ly, Tam Doctor of Chiropractic (DC)
Phone: (408) 256-3865

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X

Profile Details

NPI number 1760130827
LBN Legal business name Ativa Physical Medicine Pc
DBA Doing business as
Authorized official Ly, Tam Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 16th, 2022
Last updated Mar 16th, 2022 - about 2 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.

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