County Of Santa Clara
Specialty details in registry · San Jose, CA
At a glance
500 Tully Rd, San Jose, CA 95111-1917
NPPES record updated Feb 9, 2026. Public records can lag behind changes at a practice.
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- Are you accepting new patients?
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Insurance participation and appointment availability are not established by these public records.
Practice location
500 Tully RdSan Jose, CA 95111-1917
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 333600000X
- Enumeration date
- Nov 2, 2006
- Record updated
- Feb 9, 2026
More registry details
- Provider type
- Organization · Type 2
- Other reported name
- <UNAVAIL>
Reported taxonomies and licenses
Specialty details in registry
333600000X · Primary
License reported: PHE30090 CA
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
500 Tully RdSan Jose, CA 95111-1917
- Phone
- (408) 817-1360
- Fax
- (408) 817-1367
Mailing address
2325 ENBORG LN STE 320SAN JOSE, CA 951282649
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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