Forest Medical Group, Inc.

NPI #1366642225 in Campbell, California

Provider Information

NPI Number: 1366642225
Entity Type: Organization
Organization Name: Forest Medical Group, Inc.
Primary Specialty: Specialist
Enumeration Date: Jul 19, 2007
Last Updated: Jan 13, 2012

Practice Location

Address: 3803 S BASCOM AVE
Address 2: SUITE 210
City: Campbell
State: California
ZIP Code: 95008-7317
Phone: (408) 559-1866

Authorized Official

Name: NINA A BREDA
Title: OFFICE MANAGER
Phone: (408) 559-1866

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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