Vallejo-Brooks, Miel Marie
Vallejo-Brooks, Miel Marie is an individual health care provider with primary practice located at 751 S Bascom Ave Ob/Gyn Dept, San Jose CA 95128-2604. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics, which is considered as her primary health care specialty. Vallejo-Brooks, Miel Marie can be contacted via phone (408) 885-5550.Contact Information
Primary practice address
751 S Bascom Ave Ob/Gyn Dept
San Jose CA 95128-2604
Phone: (408) 885-5550
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics | 207VX0000X | A77518 | California |
Profile Details
| NPI number | 1215952056 |
|---|---|
| LBN Legal business name | Vallejo-Brooks, Miel Marie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 13th, 2006 |
| Last updated | Jan 21st, 2010 - about 14 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 | 1215952056 | NPPES |
| California | MEDICAID | 00A775180 |
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