Forest Avenue Medical Group

LBN: Forest Avenue Medical Group
Forest Avenue Medical Group is an health care organization with primary practice located at 2100 Forest Ave Suite 104, San Jose CA 95128-1422. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Forest Avenue Medical Group can be contacted via phone (408) 292-2552, or through Mcguire, Thomas J. via phone (408) 292-2552.

Contact Information

Primary practice address
2100 Forest Ave Suite 104 San Jose CA 95128-1422
Phone: (408) 292-2552
Fax: (408) 292-1943
Website:
Map and Directions
Authorized official contact:
Name: Mcguire, Thomas J. Doctor of Medicine (MD)
Phone: (408) 292-2552

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X (MULTIPLE PROVIDERS) California

Profile Details

NPI number 1871712174
LBN Legal business name Forest Avenue Medical Group
DBA Doing business as
Authorized official Mcguire, Thomas J. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 25th, 2007
Last updated Aug 22nd, 2020 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1871712174 NPPES
California Other 181-2872-8 CA STATE EMPLOYER NUMBER

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