Negin, Harley

Negin, Harley is an individual health care provider with primary practice located at 625 Lincoln Ave , San Jose CA 95126-3705. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Negin, Harley can be contacted via phone (408) 278-3620.

Contact Information

Primary practice address
625 Lincoln Ave San Jose CA 95126-3705
Phone: (408) 278-3620
Fax: (408) 278-3692
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X C36728 California

Profile Details

NPI number 1740382506
LBN Legal business name Negin, Harley
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2006
Last updated Jun 18th, 2020 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740382506 NPPES
California MEDICAID 00C367280

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