Hamilton Avenue Medical Group, Inc.

LBN: Hamilton Avenue Medical Group, Inc.
Hamilton Avenue Medical Group, Inc. is an health care organization with primary practice located at 295 Oconnor Dr , San Jose CA 95128-1624. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Hamilton Avenue Medical Group, Inc. can be contacted via phone (408) 279-8171, or through Luong, Jean via phone (408) 279-8171.

Contact Information

Primary practice address
295 Oconnor Dr San Jose CA 95128-1624
Phone: (408) 279-8171
Fax: (408) 279-0412
Website:
Map and Directions
Authorized official contact:
Name: Luong, Jean Doctor of Medicine (MD)
Phone: (408) 279-8171

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A48809 California

Profile Details

NPI number 1871712737
LBN Legal business name Hamilton Avenue Medical Group, Inc.
DBA Doing business as
Authorized official Luong, Jean Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 25th, 2007
Last updated Jul 22nd, 2015 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871712737 NPPES
California MEDICAID ZZZ73614Z

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