Whalio Doctors

NPI 1366895666

Lifemoves - Autumn Satellite Clinic

Organisation Case Management Agency San Jose, CA

Practice location

Address
263 N Autumn St, San Jose, CA 95110
Phone
(650) 685-5880
Mailing address
181 Constitution Dr, Menlo Park, CA 94025-1106

Authorised official

Name
Craig Garber
Title
Cfo
Phone
(650) 685-5880

Registered specialties

Case Management Agency Primary
Agencies Taxonomy 251B00000X

Registry record

NPI
1366895666
Entity type
Organization
NPI issued
21 Jul 2016
Record last updated
1 Jun 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.