OSTEOPOROSIS CENTER OF SAN JOSE; NPI #1891915005

Contact Information

OSTEOPOROSIS CENTER OF SAN JOSE

25 N 14TH ST STE 890
SAN JOSE, CA 95112-6216

Phone: 408-288-6694
Fax: 408-288-6698
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Bone Densitometry Radiologic Technologist	2471B0102X
Radiology	261QR0200X	74	Radiation Therapy Center

Indicates primary specialty

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NPI Profile & details for OSTEOPOROSIS CENTER OF SAN JOSE

NPI Number 1891915005

LBN Legal business name OSTEOPOROSIS CENTER OF SAN JOSE

Authorized official BRUCE DREYFUSS - (DIRECTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 04/27/2007

Last updated 09/16/2008 - About 18 years ago

Identifiers

CA	License #	FAC52131
CA	License #	RHC142268
CA	Medicaid	00G642970
CA	Medicaid	5148629
CA	Other	ZZZ54863Z	BLUE SHIELD#
CA	Other	75001	FIRST HEALTH #
CA	Other	000519	PMG #
CA	Other	110048492	RAILROAD MEDICARE
CA	Other	660003967	RAILROAD MEDICARE
CA	Other	006083	SCCIPA OST #

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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