Department Of Veterans Affairs

Specialty details in registry · Sunnyvale, CA

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At a glance

745 S Bernardo Ave Apt D151, Sunnyvale, CA 94087-1045

NPPES record updated Jun 13, 2008. Public records can lag behind changes at a practice.

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Practice location

745 S Bernardo Ave Apt D151
Sunnyvale, CA 94087-1045
Professional details: NPI, taxonomy & registry record
NPI1275671992
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
286500000X
Enumeration date
Feb 2, 2007
Record updated
Jun 13, 2008
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

286500000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

745 S Bernardo Ave Apt D151
Sunnyvale, CA 94087-1045
Phone
(510) 435-0028
Mailing address
745 S BERNARDO AVE APT D151

SUNNYVALE, CA 940871045
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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