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NPI Code Detail

MEDICARE: VIOLETA JOMEHRI NP

MEDICARE: VIOLETA JOMEHRI NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner95014535CA

General Provider Information

NPI Number : 1184250888
Entity Type Code : Individual
Provider Name (Legal Business Name) : VIOLETA JOMEHRI NP
Provider Business Mailing Address
First Line : PO BOX 6281
Second Line :
City : SAN JOSE
State : CA
Zip : 95150-6281
Country : US
Telephone Number : 408-903-8720
Fax Number :
Provider Business Practice Location Address
First Line : 4250 AUBURN BLVD
Second Line :
City : SACRAMENTO
State : CA
Zip : 95841-4164
Country : US
Telephone Number : 408-903-8720
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/13/2020
Last Update Date : 06/12/2020

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