PHYSICIANS MEDICAL GROUP OF SAN JOSE, INC.
Suppliers at Lincoln Ave, San Jose, CA

License number
California A71045
Category
Suppliers
Type
Non-Pharmacy Dispensing Site
Owner
Name: KENNY HEINE
Title: DIRECTOR OF OPERATIONS
Phone: (858) 625-2990
Address
Address 2
625 Lincoln Ave, San Jose, CA 95126
5626 Oberlin Dr SUITE 110, San Diego, CA 92121
National Provider ID: 1568503654
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about PHYSICIANS MEDICAL GROUP OF SAN JOSE, INC. at bizstanding.com

PHYSICIANS MEDICAL GROUP OF SAN JOSE, INC

San Jose, CA

Industry:
Physician
Doing business as:
P M G
Registration:
May 28, 1980
Addresses:
75 E Santa Clara St SUITE 950, San Jose, CA 95113 (Physical)
1565 Mabury Rd, San Jose, CA 95133
State ID:
C0983909
Business type:
Articles of Incorporation
Presidents:
Vittal Sudin (President),Emiro Burbano President, inactive
Agent:
Armando Bautista,San Mateo, CA 94403 (Physical)

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