Healthcare Provider Details

I. General information

NPI: 1679150270
Provider Name (Legal Business Name): JAI HO TV INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/28/2021
Last Update Date: 03/28/2021
Certification Date: 03/28/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

39180 LIBERTY ST
FREMONT CA
94538-1512
US

IV. Provider business mailing address

16800 MONTEREY RD UNIT 200
MORGAN HILL CA
95037-9756
US

V. Phone/Fax

Practice location:
  • Phone: 669-264-7522
  • Fax:
Mailing address:
  • Phone: 669-264-7522
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SRINIVAS THIRUNAGARI
Title or Position: DIRECTOR
Credential:
Phone: 669-264-7522