Provider First Line Business Practice Location Address:
5755 COTTLE RD
Provider Second Line Business Practice Location Address:
BUILDING #4 KAISER PERMANENTE DEPARTMENT OF PSYCHIATRY
Provider Business Practice Location Address City Name:
SAN JOSE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95123
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
408-972-7330
Provider Business Practice Location Address Fax Number:
408-972-3242
Provider Enumeration Date:
12/27/2006