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General NPI Number Information
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NPI Number | 1548393044
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Entity Type | Organization
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Legal Business Name | JOHN WELSH, M.D.
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Dates
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Enumeration Date | 03/13/2007
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Last Update Date | 03/17/2014
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Provider Practice Location Address
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Address Line | 851 FREMONT AVE SUITE 109
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City | LOS ALTOS
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State | CA
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Zip | 94024-5698
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Country | US
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Telephone | 650-941-1040
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Fax | 650-941-1001
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Provider Business Mailing Address
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Address Line | 851 FREMONT AVE SUITE 109
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City | LOS ALTOS
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State | CA
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Zip | 94024-5698
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Country | US
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Telephone | 650-941-1040
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Fax | 650-941-1001
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. VICTORIA ZAPIEN
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Credential |
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Telephone | 650-941-1040
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | G80415
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License Number State | CA
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