Vallejo-Brooks, Miel Marie

Vallejo-Brooks, Miel Marie is an individual health care provider with primary practice located at 751 S Bascom Ave Ob/Gyn Dept, San Jose CA 95128-2604. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics, which is considered as her primary health care specialty. Vallejo-Brooks, Miel Marie can be contacted via phone (408) 885-5550.

Contact Information

Primary practice address
751 S Bascom Ave Ob/Gyn Dept San Jose CA 95128-2604
Phone: (408) 885-5550
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics 207VX0000X A77518 California

Profile Details

NPI number 1215952056
LBN Legal business name Vallejo-Brooks, Miel Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2006
Last updated Jan 21st, 2010 - about 16 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 1215952056 NPPES
California MEDICAID 00A775180

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