MEDICARE: DESIREE DOROTHY NUZZI

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
1	225400000X	Rehabilitation Practitioner		CA

General Provider Information

NPI Number	:	1336427723
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DESIREE DOROTHY NUZZI

Provider Business Mailing Address
First Line	:	1887 MONTEREY HWY STE 205
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95112-6192
Country	:	US
Telephone Number	:	408-961-4040
Fax Number	:	408-292-3640

Provider Business Practice Location Address
First Line	:	1887 MONTEREY HWY STE 205
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95112-6192
Country	:	US
Telephone Number	:	408-961-4040
Fax Number	:	408-292-3640

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/02/2011
Last Update Date	:	05/14/2026

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