Provider Demographics
NPI:1215141569
Name:HARMONY HEALTH CARE, INC.
Entity type:Organization
Organization Name:HARMONY HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JENELYN
Authorized Official - Middle Name:CHING
Authorized Official - Last Name:LIM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:408-676-8140
Mailing Address - Street 1:1702L MERIDIAN AVE # 296
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95125-5534
Mailing Address - Country:US
Mailing Address - Phone:408-676-8140
Mailing Address - Fax:866-430-3312
Practice Address - Street 1:670 N MCCARTHY BLVD
Practice Address - Street 2:SUITE 220
Practice Address - City:MILPITAS
Practice Address - State:CA
Practice Address - Zip Code:95035-5119
Practice Address - Country:US
Practice Address - Phone:408-676-8140
Practice Address - Fax:866-430-3312
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-09
Last Update Date:2011-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA67246207RH0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT004271673Medicaid
CTDG3100OtherMEDICARE RAILROAD
CT34948Medicare UPIN
CT004271673Medicaid