Momentum For Health | |
438 N White Rd San Jose CA 95127-1439 | |
(408) 510-6284 | |
(408) 642-6052 |
Full Name | Momentum For Health |
---|---|
Speciality | Psychologist |
Location | 438 N White Rd, San Jose, California |
Authorized Official Name and Position | David K. Mineta (CEO) |
Authorized Official Contact | 6692130755 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Momentum For Health 1922 The Alameda Ste 316 San Jose CA 95126-1461 Ph: (408) 261-7777 | Momentum For Health 438 N White Rd San Jose CA 95127-1439 Ph: (408) 510-6284 |
NPI Number | 1053010538 |
---|---|
Provider Enumeration Date | 02/23/2023 |
Last Update Date | 02/23/2023 |
Certification Date | 02/22/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053010538 | NPI | - | NPPES |
0000043QQ | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | (* (Not Available)) | Primary |
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