Healthcare Provider Details

I. General information

NPI: 1477815314
Provider Name (Legal Business Name): SKOOLCARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2012
Last Update Date: 07/13/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19731 YUBA CT
SARATOGA CA
95070-3948
US

IV. Provider business mailing address

19731 YUBA CT
SARATOGA CA
95070-3948
US

V. Phone/Fax

Practice location:
  • Phone: 408-838-0502
  • Fax: 408-877-1505
Mailing address:
  • Phone: 408-838-0502
  • Fax: 408-877-1505

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

Name: ANJALI KAUSAR
Title or Position: DIRECTOR
Credential:
Phone: 408-838-0502