institution
Meridian Medical Group Professional Corp
General Practice Physician in San Jose, California
NPI 1457439572

Meridian Medical Group Professional Corp is a General Practice Physician based in San Jose, CA. Meridian Medical Group Professional Corp practices in San Jose, CA. The NPI Number for Meridian Medical Group Professional Corp is 1457439572 and holds a License No. A303360 (California).

The current practice location address for Meridian Medical Group Professional Corp is 1047 E Capitol Expy, San Jose, CA and can be reached out via phone at 408-754-8988 and via fax at 408-754-8289.

Location: 1047 E Capitol Expy, San Jose, CA, 95121-2415
institution
Provider Profile Details
NPI Number
1457439572
Provider Name
Meridian Medical Group Professional Corp
Credential
Provider Entity Type
Organization
Address
1047 E Capitol Expy, San Jose, CA, 95121-2415
Phone Number
408-754-8988
Fax Number
408-754-8289
Provider Enumeration Date
11/02/2006
Last Update Date
02/15/2025
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
880357380 01 CA TAX ID
GR0070181 05 CA
GR0070182 05 CA
00A303360 01 CA MEDICAL LICENSE NUMBER
1134228752 01 CA NPI NUMBER
ZZZ41448Z 01 CA BLUE SHIELD NUMBER
GR0070180 05 CA
institution
Provider Business Practice Location Address Details
Address
1047 E Capitol Expy
City
State
Zip
95121-2415
Phone Number
408-754-8988
Fax Number
408-754-8289
person
Provider Business Mailing Address Details
Address
1047 E Capitol Expy
City
State
Zip
95121-2415
Phone Number
408-754-8988
Fax Number
408-754-8289
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
A303360 (California)
Definition
Definition to come...
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.