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Alex Im, MD
General Practice Physician in Santa Clara, California
NPI 1285375980

Alex Im is a General Practice Physician based in Santa Clara, CA. Alex Im practices in Santa Clara, CA and has the professional credentials of MD. The NPI Number for Alex Im is 1285375980 and holds a License No. (California).

The current practice location address for Alex Im is 710 Lawrence Expy Dept 384, Santa Clara, CA and can be reached out via phone at 408-851-3795.

Location: 710 Lawrence Expy Dept 384, Santa Clara, CA, 95051-5173
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1285375980
Provider Name
Alex Im
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
710 Lawrence Expy Dept 384, Santa Clara, CA, 95051-5173
Phone Number
408-851-3795
Fax Number
Provider Enumeration Date
04/05/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
710 Lawrence Expy Dept 384
City
Santa Clara
State
California
Zip
95051-5173
Phone Number
408-851-3795
Fax Number
person
Provider Business Mailing Address Details
Address
710 Lawrence Expy Dept 384
City
Santa Clara
State
California
Zip
95051-5173
Phone Number
408-851-3795
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
188744 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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