Organization Name: | SPORTS & OCCUPATION MEDICAL ASSOCIATES |
NPI Number: | 1811033368 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LINDA ANN DEAN (MANAGER) |
Mailing Address: | 555 Knowles Dr 207 Los Gatos |
State: | CA US |
Postal Code: | 950321549 |
Phone Number: | 4083741110 |
Fax Number: | 4083741133 |
NPI Enumeration Date: | 01/30/2007 |
NPI Last Update Date: | 05/20/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | G69134 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |