SOUTH BAY CARDIOVASCULAR MEDICAL GROUP, INC
Medical Practice at Bascom Ave, San Jose, CA

License number
California A50310
Category
Medical Practice
Type
Specialist
Owner
Name: MOHAMMAD SHENASA M.D.
Title: OWNER
Phone: (408) 918-0400
Address
Address
105 N Bascom Ave SUITE 204, San Jose, CA 95128
National Provider ID: 1003148073
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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SOUTH BAY CARDIOVASCULAR MEDICAL GROUP, INC

105 N Bascom Ave STE 204, San Jose, CA 95128

Registration:
Nov 6, 2009
State ID:
C3258997
Agent:
Mohammad Shenasa,San Jose, CA 95128 (Physical)

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