Healthcare Provider Details

I. General information

NPI: 1568973071
Provider Name (Legal Business Name): REALOPTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/24/2017
Last Update Date: 10/24/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1671 THE ALAMEDA STE 101
SAN JOSE CA
95126-2222
US

IV. Provider business mailing address

1671 THE ALAMEDA STE 101
SAN JOSE CA
95126-2222
US

V. Phone/Fax

Practice location:
  • Phone: 408-978-9310
  • Fax: 408-229-9653
Mailing address:
  • Phone: 408-229-9836
  • Fax: 408-229-9653

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MRS. VALERIE HILL
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: CEO
Phone: 408-229-9836