JOSE E AZEVEDO


Address: 9155 Connie Ave, Stockton, CA 95209-1803
Phone: 2099579678

JOSE E AZEVEDO (NPI# 1669802203) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1669802203
Entity Type Individual
Full Name JOSE E AZEVEDO
Practice Address 9155 Connie Ave
Stockton
CA 95209-1803
Practice Telephone 2099579678
Practice Fax Number 2099569680
Mailing Telephone 2099579678
Mailing Fax Number 2099569680
Enumeration Date 2013-11-18
Last Update Date 2013-11-18
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171WH0202X Contractor
Specialization: Home Modifications
969827 CA Other Service Providers

Office Location

Street Address 9155 CONNIE AVE
City STOCKTON
State CA
Zip Code 95209-1803

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Taxonomy Information

Taxonomy Code 171WH0202X
Grouping Other Service Providers
Classification Contractor
Specialization Home Modifications

Taxonomy Definition

Definition to come...

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Competitor

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City STOCKTON
Zip Code 95209

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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