Momentum For Health - Eastside Outpatient

LBN: Momentum For Health
Momentum For Health - Eastside Outpatient is an health care organization with primary practice located at 438 N White Rd , San Jose CA 95127-1439. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as the primary health care specialty. Momentum For Health can be contacted via phone (408) 254-6828, or through Mineta, David K. via phone (669) 213-0755.

Contact Information

Primary practice address
438 N White Rd San Jose CA 95127-1439
Phone: (408) 254-6828
Fax: (408) 642-6052
Website:
Map and Directions
Authorized official contact:
Name: Mineta, David K.
Phone: (669) 213-0755

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X

Profile Details

NPI number 1508083205
LBN Legal business name Momentum For Health
DBA Doing business as Momentum For Health - Eastside Outpatient
Authorized official Mineta, David K.
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 20th, 2007
Last updated Feb 22nd, 2023 - about last year

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 1508083205 NPPES
California MEDICAID 000008369

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