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NPI Code Detail

MEDICARE: PATRICIA XOCHITL NISHAN

MEDICARE: PATRICIA XOCHITL NISHAN
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
1103K00000XBehavior Analyst1-20-42277CA

General Provider Information

NPI Number : 1427877943
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICIA XOCHITL NISHAN
Provider Business Mailing Address
First Line : 2007 W HEDDING ST STE 201
Second Line :
City : SAN JOSE
State : CA
Zip : 95128-1428
Country : US
Telephone Number : 866-375-2437
Fax Number :
Provider Business Practice Location Address
First Line : 910 CAMPISI WAY STE A1
Second Line :
City : CAMPBELL
State : CA
Zip : 95008-2350
Country : US
Telephone Number : 408-826-8220
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/10/2024
Last Update Date : 10/10/2024

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Directions to “ PATRICIA XOCHITL NISHAN ” Practice Location

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