Healthcare Provider Details

I. General information

NPI: 1063534568
Provider Name (Legal Business Name): JOSEPHINE G OCHALE LVN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/04/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2101 ALEXIAN DR
SAN JOSE CA
95116-1901
US

IV. Provider business mailing address

1741 S CAPITOL AVE
SAN JOSE CA
95127-4550
US

V. Phone/Fax

Practice location:
  • Phone: 408-272-6510
  • Fax: 408-272-6540
Mailing address:
  • Phone: 408-251-3378
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164X00000X
TaxonomyLicensed Vocational Nurse
License NumberVN194437
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: