Provider Demographics
NPI:1548393044
Name:JOHN WELSH, M.D.
Entity Type:Organization
Organization Name:JOHN WELSH, M.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:VICTORIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAPIEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:650-941-1040
Mailing Address - Street 1:851 FREMONT AVE
Mailing Address - Street 2:SUITE 109
Mailing Address - City:LOS ALTOS
Mailing Address - State:CA
Mailing Address - Zip Code:94024-5698
Mailing Address - Country:US
Mailing Address - Phone:650-941-1040
Mailing Address - Fax:650-941-1001
Practice Address - Street 1:851 FREMONT AVE
Practice Address - Street 2:SUITE 109
Practice Address - City:LOS ALTOS
Practice Address - State:CA
Practice Address - Zip Code:94024-5698
Practice Address - Country:US
Practice Address - Phone:650-941-1040
Practice Address - Fax:650-941-1001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-13
Last Update Date:2014-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG80415208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ28528ZMedicare PIN