FRED AND MARY MANSUBI, M.D. A PROFESSIONAL MEDICAL CORPORATION
Medical Practice at Samaritan Dr, San Jose, CA

License number
California A330510
Category
Medical Practice
Type
Pediatrics
License number
California A262890
Category
Medical Practice
Type
Pediatric Allergy/Immunology
Owner
Name: MRS. MEHRI (MARY) MANSUBI M.D.
Title: OWNER
Phone: (408) 358-2627
Address
Address
2577 Samaritan Dr SUITE 860, San Jose, CA 95124
National Provider ID: 1114126034
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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FRED & MARY MANSUBI, M.D. A PROFESSIONAL MEDICAL CORPORATION

2577 Samaritan Dr #860, San Jose, CA 95124

Industry:
Pediatrician & Allergist
Registration:
Jan 6, 1986
Phone:
(408) 358-2627 (Phone)
State ID:
C1294688
Business type:
Articles of Incorporation
Presidents:
Mansubi Fred (President),Fred Mansubi President, inactive
Agent:
Fred Mansubi, M.d,San Jose, CA 95124 (Physical)

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