institution
South Bay Sports And Family Medicine, A Medical Corporation
Primary Care Clinic/Center in Campbell, California
NPI 1881884310

South Bay Sports And Family Medicine, A Medical Corporation is a Primary Care Clinic/Center based in Campbell, CA and is specialized in Primary Care. South Bay Sports And Family Medicine, A Medical Corporation practices in Campbell, CA. The NPI Number for South Bay Sports And Family Medicine, A Medical Corporation is 1881884310 and holds a License No. (California).

The current practice location address for South Bay Sports And Family Medicine, A Medical Corporation is 221 E Hacienda Ave, Campbell, CA and can be reached out via phone at 408-376-3350 and via fax at 408-374-4130.

Location: 221 E Hacienda Ave, Campbell, CA, 95008-6616
institution
Provider Profile Details
NPI Number
1881884310
Provider Name
South Bay Sports And Family Medicine, A Medical Corporation
Credential
Provider Entity Type
Organization
Address
221 E Hacienda Ave, Campbell, CA, 95008-6616
Phone Number
408-376-3350
Fax Number
408-374-4130
Provider Enumeration Date
07/31/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ZZZ06553Z 01 CA MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
221 E Hacienda Ave
City
State
Zip
95008-6616
Phone Number
408-376-3350
Fax Number
408-374-4130
person
Provider Business Mailing Address Details
Address
221 E Hacienda Ave
City
State
Zip
95008-6616
Phone Number
408-376-3350
Fax Number
408-374-4130
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
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Definition
Definition to come...
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