Santa Clara Ob/Gyn Medical Group

LBN: Santa Clara Ob/Gyn Medical Group
Santa Clara Ob/Gyn Medical Group is an health care organization with primary practice located at 2030 Forest Ave Suite 100, San Jose CA 95128-4833. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as the primary health care specialty. Santa Clara Ob/Gyn Medical Group can be contacted via phone (408) 993-1814, or through Cordero, Mario via phone (408) 993-1814.

Contact Information

Primary practice address
2030 Forest Ave Suite 100 San Jose CA 95128-4833
Phone: (408) 993-1814
Fax: (408) 993-1822
Website:
Map and Directions
Authorized official contact:
Name: Cordero, Mario Doctor of Medicine (MD)
Phone: (408) 993-1814

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X A34509 California

Profile Details

NPI number 1083890990
LBN Legal business name Santa Clara Ob/Gyn Medical Group
DBA Doing business as
Authorized official Cordero, Mario Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 10th, 2008
Last updated Jan 10th, 2008 - about 17 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 1083890990 NPPES
California MEDICAID GR0030630

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