Healthcare Provider Details

I. General information

NPI: 1598853491
Provider Name (Legal Business Name): MINA ALINDOGEN ECHOLS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/10/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17705 HALE AVE STE I1
MORGAN HILL CA
95037
US

IV. Provider business mailing address

17705 HALE AVE STE I1
MORGAN HILL CA
95037
US

V. Phone/Fax

Practice location:
  • Phone: 408-776-9560
  • Fax: 408-778-7857
Mailing address:
  • Phone: 408-776-9560
  • Fax: 408-778-7857

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA34088
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: