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California Home Doc
Specialist in San Jose, California
NPI 1710381702

California Home Doc is a Specialist based in San Jose, CA. California Home Doc practices in San Jose, CA. The NPI Number for California Home Doc is 1710381702 and holds a License No. A97753 (California).

The current practice location address for California Home Doc is 4030 Moorpark Ave, San Jose, CA and can be reached out via phone at 408-596-6278.

Location: 4030 Moorpark Ave, San Jose, CA, 95117-4103
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1710381702
Provider Name
California Home Doc
Credential
Provider Entity Type
Organization
Address
4030 Moorpark Ave, San Jose, CA, 95117-4103
Phone Number
408-596-6278
Fax Number
Provider Enumeration Date
10/20/2014
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
193400000X 01 CA TAXONAMY
institution
Provider Business Practice Location Address Details
Address
4030 Moorpark Ave
City
San Jose
State
California
Zip
95117-4103
Phone Number
408-596-6278
Fax Number
person
Provider Business Mailing Address Details
Address
4030 Moorpark Ave
City
San Jose
State
California
Zip
95117-4103
Phone Number
408-596-6278
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
A97753 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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