DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: WONGAIL BEZA TARIKU

MEDICARE: WONGAIL BEZA TARIKU
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior AnalystCA

General Provider Information

NPI Number : 1982542122
Entity Type Code : Individual
Provider Name (Legal Business Name) : WONGAIL BEZA TARIKU
Provider Business Mailing Address
First Line : 1150 S KING RD # 152
Second Line :
City : SAN JOSE
State : CA
Zip : 95122-2139
Country : US
Telephone Number : 408-622-9222
Fax Number :
Provider Business Practice Location Address
First Line : 1150 S KING RD # 152
Second Line :
City : SAN JOSE
State : CA
Zip : 95122-2139
Country : US
Telephone Number : 408-622-9222
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/21/2026
Last Update Date : 03/21/2026

Similar Medicare Providers

1881914000 — GRUPO MEDICO POLICLINICA SAN PEDRO MEDICARE ADVANTAGE
Practice Location Address:
211 CALLE MORSE
ARROYO, PR
00714-2350
Practice Phone: 787-839-3980
Practice Fax: 787-271-2515
1164429916 — JIMMY CHAM DDS
Practice Location Address:
2139 TULLY RD
SAN JOSE, CA
95122-1346
Practice Phone: 408-259-5660
Practice Fax:
1790834679 — P S CHU, DDS, INC
Practice Location Address:
2139 TULLY RD
SAN JOSE, CA
95122-1346
Practice Phone: 408-259-5660
Practice Fax:
1750430880 — DR. PEK CHU DDS
Practice Location Address:
2139 TULLY RD
SAN JOSE, CA
95122-1346
Practice Phone: 408-259-5660
Practice Fax:
1104027614 — JIMMY CHAM DDS A PROFESSIONAL CORPORATION
Practice Location Address:
2139 TULLY RD
SAN JOSE, CA
95122-1346
Practice Phone: 408-259-5660
Practice Fax:
1063654093 — DEREK CHU
Practice Location Address:
2139 TULLY RD
SAN JOSE, CA
95122-1346
Practice Phone: 408-256-5660
Practice Fax:

Directions to “ WONGAIL BEZA TARIKU ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.