Cervenka, Andrea Sue

Cervenka, Andrea Sue is an individual health care provider with primary practice located at 751 S Bascom Ave Urgent Care Clinic, San Jose CA 95128-2604. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Cervenka, Andrea Sue can be contacted via phone (408) 885-5249.

Contact Information

Primary practice address
751 S Bascom Ave Urgent Care Clinic San Jose CA 95128-2604
Phone: (408) 885-5249
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A63427 California

Profile Details

NPI number 1609841774
LBN Legal business name Cervenka, Andrea Sue
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2006
Last updated Jul 9th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609841774 NPPES
California MEDICAID 00A345270

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