Healthcare Provider Details

I. General information

NPI: 1255638151
Provider Name (Legal Business Name): PIER FRANCESCO INDELLI
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/12/2011
Last Update Date: 02/12/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6841 TUNBRIDGE WAY
SAN JOSE CA
95120-2145
US

IV. Provider business mailing address

6841 TUNBRIDGE WAY
SAN JOSE CA
95120-2145
US

V. Phone/Fax

Practice location:
  • Phone: 408-268-5101
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XS0114X
TaxonomyAdult Reconstructive Orthopaedic Surgery Physician
License NumberIN PROCESS
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: