Healthcare Provider Details

I. General information

NPI: 1649281551
Provider Name (Legal Business Name): OSTEOPOROSIS CENTER OF LOS GATOS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 W PARR AVE SUITE O
LOS GATOS CA
95032-1442
US

IV. Provider business mailing address

700 W PARR AVE SUITE O
LOS GATOS CA
95032-1442
US

V. Phone/Fax

Practice location:
  • Phone: 408-871-0495
  • Fax:
Mailing address:
  • Phone: 408-871-0495
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2471B0102X
TaxonomyBone Densitometry Radiologic Technologist
License Number
License Number State

VIII. Authorized Official

Name: DONALD C SILCOX
Title or Position: MEDICAL DIRECTOR
Credential: M.D.
Phone: 408-356-3178