Healthcare Provider Details

I. General information

NPI: 1861970733
Provider Name (Legal Business Name): INSTANT TELE CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/02/2018
Last Update Date: 05/05/2020
Certification Date: 05/05/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5138 MONTEREY HWY STE G
SAN JOSE CA
95111-4382
US

IV. Provider business mailing address

5138 MONTEREY HWY STE G
SAN JOSE CA
95111-4382
US

V. Phone/Fax

Practice location:
  • Phone: 408-687-4806
  • Fax: 408-687-4817
Mailing address:
  • Phone: 800-610-5290
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: RAMANDEEP KAUR
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 800-610-5290