Cervenka, Andrea Sue
Cervenka, Andrea Sue is an individual health care provider with primary practice located at 751 S Bascom Ave Urgent Care Clinic, San Jose CA 95128-2604. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Cervenka, Andrea Sue can be contacted via phone (408) 885-5249.Contact Information
Primary practice address
751 S Bascom Ave Urgent Care Clinic
San Jose CA 95128-2604
Phone: (408) 885-5249
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | A63427 | California |
Profile Details
NPI number | 1609841774 |
---|---|
LBN Legal business name | Cervenka, Andrea Sue |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 21st, 2006 |
Last updated | Jul 9th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1609841774 | NPPES |
California | MEDICAID | 00A345270 |
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