Healthcare Provider Details

I. General information

NPI: 1740161421
Provider Name (Legal Business Name): A DEAN MA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/10/2025
Last Update Date: 09/10/2025
Certification Date: 09/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8833 MONTEREY HWY STE J, UNIT 648
GILROY CA
95020
US

IV. Provider business mailing address

8833 MONTEREY HWY STE J, UNIT 648
GILROY CA
95020
US

V. Phone/Fax

Practice location:
  • Phone: 669-888-1340
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: