Healthcare Provider Details

I. General information

NPI: 1235176025
Provider Name (Legal Business Name): ARTHRITIS AND ORTHOPEDIC MEDICAL CLINIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2006
Last Update Date: 03/15/2022
Certification Date: 03/15/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

825 POLLARD RD STE 100
LOS GATOS CA
95032-1435
US

IV. Provider business mailing address

825 POLLARD RD STE 100
LOS GATOS CA
95032-1435
US

V. Phone/Fax

Practice location:
  • Phone: 408-356-0444
  • Fax: 408-358-5125
Mailing address:
  • Phone: 408-356-0444
  • Fax: 408-358-5125

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. ROBERT G APTEKAR
Title or Position: GENERAL PARTNER
Credential: MD
Phone: 408-356-0444