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Evergreen Hills Medical Group
Medical Specialty Clinic/Center in San Jose, California
NPI 1396949822

Evergreen Hills Medical Group is a Medical Specialty Clinic/Center based in San Jose, CA and is specialized in Medical Specialty. Evergreen Hills Medical Group practices in San Jose, CA. The NPI Number for Evergreen Hills Medical Group is 1396949822 and holds a License No. (California).

The current practice location address for Evergreen Hills Medical Group is 2690 S White Rd, San Jose, CA and can be reached out via phone at 408-223-7771 and via fax at 408-223-7779.

Location: 2690 S White Rd, San Jose, CA, 95148-2076
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1396949822
Provider Name
Evergreen Hills Medical Group
Credential
Provider Entity Type
Organization
Address
2690 S White Rd, San Jose, CA, 95148-2076
Phone Number
408-223-7771
Fax Number
408-223-7779
Provider Enumeration Date
06/11/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
A73641 01 CA STATE LICENSE NUMBER
G69952 01 CA STATE LICENSE NUMBER
A67291 01 CA STATE LICENSE NUMBER
G73395 01 CA STATE LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
2690 S White Rd
City
San Jose
State
California
Zip
95148-2076
Phone Number
408-223-7771
Fax Number
408-223-7779
person
Provider Business Mailing Address Details
Address
2690 S White Rd
City
San Jose
State
California
Zip
95148-2076
Phone Number
408-223-7771
Fax Number
408-223-7779
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
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Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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