Provider Demographics
NPI:1598064511
Name:RICHARD A. BOBIS, M.D., INC.
Entity Type:Organization
Organization Name:RICHARD A. BOBIS, M.D., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:A
Authorized Official - Last Name:BOBIS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:408-358-1841
Mailing Address - Street 1:15215 NATIONAL AVE
Mailing Address - Street 2:# 200
Mailing Address - City:LOS GATOS
Mailing Address - State:CA
Mailing Address - Zip Code:95032-2425
Mailing Address - Country:US
Mailing Address - Phone:408-358-1841
Mailing Address - Fax:408-356-6970
Practice Address - Street 1:15215 NATIONAL AVE
Practice Address - Street 2:# 200
Practice Address - City:LOS GATOS
Practice Address - State:CA
Practice Address - Zip Code:95032-2425
Practice Address - Country:US
Practice Address - Phone:408-358-1841
Practice Address - Fax:408-356-6970
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-16
Last Update Date:2011-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG26712207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty