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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

EVERGREEN PEDIATRICS INC

Active Organization

EVERGREEN PEDIATRICS INC is a Pediatrics organization located in SAN JOSE, California. NPI 1972641736 is currently active in the NPPES registry. Verify at CMS.

Pediatrics · SAN JOSE, CA

Registration Details

NPI Number
1972641736
Provider Type
Organization
NPI Issued
Feb 2, 2007 (19.486530837356 yrs)
Last Updated
Oct 2, 2013
License
A33613 (CA)

Practice Information

Address
4205 SAN FELIPE RD
#110
SAN JOSE, CA, 951351503
Browse CA providers · Browse ZIP 95135
Phone
4082388303
Fax
4082388375
Primary Specialty
Pediatrics
208000000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.