Cccma
NPI #1174955587 in Millbrae, California
Provider Information
- NPI Number
- 1174955587
- Entity Type
- Organization
- Organization Name
- Cccma
- Primary Specialty
- Long Term Care Hospital
- Enumeration Date
- Aug 7, 2013
- Last Updated
- Aug 7, 2013
Practice Location
- Address
- 1149 FERNWOOD DR
- City
- Millbrae
- State
- California
- ZIP Code
- 94030-1011
- Phone
- (650) 302-5864
Authorized Official
- Name
- ASH JAIN
- Title
- CEO
- Phone
- (510) 796-0222
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
| Long Term Care Hospital |
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