| January Clinic, P.a. | |
|
1259 El Camino Real # 231 Menlo Park CA 94025-4208 | |
| (561) 901-1741 | |
| Not Available |
| Full Name | January Clinic, P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1259 El Camino Real # 231, Menlo Park, California |
| Authorized Official Name and Position | Haleh Agdassi (PRESIDENT) |
| Authorized Official Contact | 5619011741 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| January Clinic, P.a. 1259 El Camino Real # 231 Menlo Park CA 94025-4208 Ph: (561) 901-1741 | January Clinic, P.a. 1259 El Camino Real # 231 Menlo Park CA 94025-4208 Ph: (561) 901-1741 |
| NPI Number | 1518554674 |
|---|---|
| Provider Enumeration Date | 12/23/2020 |
| Last Update Date | 12/29/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518554674 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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