MEDICARE: EUREKA HEALTH MEDICAL GROUP OF CALIFORNIA, P.C.

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	207RE0101X	Endocrinology, Diabetes & Metabolism Physician

General Provider Information

NPI Number	:	1861212664
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EUREKA HEALTH MEDICAL GROUP OF CALIFORNIA, P.C.

Provider Business Mailing Address
First Line	:	5674 POGLIA CT
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95138-2234
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5674 POGLIA CT
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95138-2234
Country	:	US
Telephone Number	:	513-449-0494
Fax Number	:

Authorized Official
Title or Position	:	CHIEF ADMINISTRATIVE OFFICER
Name	:	MRS. SINA HARTUNG
Credential	:
Telephone Number	:	513-449-0494

Provider Enumeration Date	:	10/15/2024
Last Update Date	:	05/01/2025

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