Dr Hector S Cerezomd Inc | |
125 N Jackson Ave Suite 110 San Jose CA 95116-1903 | |
(408) 926-8111 | |
(408) 926-8943 |
Full Name | Dr Hector S Cerezomd Inc |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 125 N Jackson Ave, San Jose, California |
Authorized Official Name and Position | Hector D Cerezo (BILLING & OPERATIONS MANAGER) |
Authorized Official Contact | 4089268111 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Dr Hector S Cerezomd Inc 125 N Jackson Ave Suite 110 San Jose CA 95116-1903 Ph: (408) 926-8111 | Dr Hector S Cerezomd Inc 125 N Jackson Ave Suite 110 San Jose CA 95116-1903 Ph: (408) 926-8111 |
NPI Number | 1013282102 |
---|---|
Provider Enumeration Date | 03/21/2012 |
Last Update Date | 03/21/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013282102 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | A37502 (California) | Primary |
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