Healthcare Provider Details

I. General information

NPI: 1326438813
Provider Name (Legal Business Name): AMALIA ZACHER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/04/2015
Last Update Date: 02/04/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7160 SANTA TERESA BLVD
SAN JOSE CA
95139-1349
US

IV. Provider business mailing address

16731 MADRONE AVE
LOS GATOS CA
95030-4120
US

V. Phone/Fax

Practice location:
  • Phone: 408-316-1669
  • Fax:
Mailing address:
  • Phone: 408-316-1669
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code284300000X
TaxonomySpecial Hospital
License Number17874
License Number StateCA

VIII. Authorized Official

Name: DR. AMALIA M ZACHER
Title or Position: VETERINARIAN
Credential:
Phone: 408-316-1669