Provider Demographics
NPI:1396437984
Name:SYMPTO HEALTH
Entity type:Organization
Organization Name:SYMPTO HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SOHAM
Authorized Official - Middle Name:
Authorized Official - Last Name:MORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:408-893-1636
Mailing Address - Street 1:4181 WOODFORD DR
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95124-3742
Mailing Address - Country:US
Mailing Address - Phone:408-893-1636
Mailing Address - Fax:
Practice Address - Street 1:3031 TISCH WAY STE 1093
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95128-2541
Practice Address - Country:US
Practice Address - Phone:408-893-1636
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SYMPTO HEALTH
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-05-23
Last Update Date:2023-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management