Healthcare Provider Details

I. General information

NPI: 1023556982
Provider Name (Legal Business Name): BRIGHTSTEMS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/10/2017
Last Update Date: 02/10/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1251 CAMERO WAY
FREMONT CA
94539-3787
US

IV. Provider business mailing address

1251 CAMERO WAY
FREMONT CA
94539-3787
US

V. Phone/Fax

Practice location:
  • Phone: 510-402-2690
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number
License Number State

VIII. Authorized Official

Name: MR. BALAJI THIRUGNANAM
Title or Position: CEO
Credential:
Phone: 510-516-4690