Healthcare Provider Details

I. General information

NPI: 1366647240
Provider Name (Legal Business Name): MARGARET N OBILOR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/19/2007
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2221 ENBORG LN
SAN JOSE CA
95128-2608
US

IV. Provider business mailing address

2279 QUAIL BLUFF PL
SAN JOSE CA
95121-3213
US

V. Phone/Fax

Practice location:
  • Phone: 408-793-2055
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: