| Mid-peninsula Eating Disorder Clinic | |
|
21721 Granada Ave Cupertino CA 95014-5934 | |
| (650) 319-7225 | |
| Not Available |
| Full Name | Mid-peninsula Eating Disorder Clinic |
|---|---|
| Speciality | Pediatrics - Adolescent Medicine |
| Location | 21721 Granada Ave, Cupertino, California |
| Authorized Official Name and Position | Harmohinder Singh Athwal (OWNER) |
| Authorized Official Contact | 5106515808 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mid-peninsula Eating Disorder Clinic 23 Carver Ln Sunol CA 94586-9441 Ph: () - | Mid-peninsula Eating Disorder Clinic 21721 Granada Ave Cupertino CA 95014-5934 Ph: (650) 319-7225 |
| NPI Number | 1558097279 |
|---|---|
| Provider Enumeration Date | 07/26/2022 |
| Last Update Date | 02/22/2023 |
| Certification Date | 02/22/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558097279 | NPI | - | NPPES |
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