Healthcare Provider Details
I. General information
NPI: 1417100348
Provider Name (Legal Business Name): GENTLE TOUCH MEDICAL GROUP, PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/23/2008
Last Update Date: 06/29/2021
Certification Date: 06/29/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
16400 LARK AVE SUITE 150
LOS GATOS CA
95032-2563
US
IV. Provider business mailing address
16400 LARK AVE SUITE 150
LOS GATOS CA
95032-2563
US
V. Phone/Fax
- Phone: 408-999-2900
- Fax: 408-999-0589
- Phone: 408-999-2900
- Fax: 408-999-0589
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RC0000X |
| Taxonomy | Cardiovascular Disease Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
ARBELLA
SARKIS
Title or Position: PRESIDENT
Credential: M.D.
Phone: 408-560-9900