Provider Demographics
NPI:1275860421
Name:QUALITY FAMILY HEALTH CARE
Entity Type:Organization
Organization Name:QUALITY FAMILY HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:BINOYE
Authorized Official - Middle Name:
Authorized Official - Last Name:NAKU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:408-926-9937
Mailing Address - Street 1:1167 S KING RD
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95122-2144
Mailing Address - Country:US
Mailing Address - Phone:408-926-9937
Mailing Address - Fax:408-926-9960
Practice Address - Street 1:1167 S KING RD
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95122-2144
Practice Address - Country:US
Practice Address - Phone:408-926-9937
Practice Address - Fax:408-926-9960
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:QUALITY FAMILY HEALTH CARE PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-11-09
Last Update Date:2010-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA81236302R00000X, 305R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization
No302R00000XManaged Care OrganizationsHealth Maintenance Organization
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAH881887Medicare UPIN