Provider Demographics
NPI:1851437552
Name:COMFORT, JAMES VIMAL (MA)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:VIMAL
Last Name:COMFORT
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1510 PARKMOOR AVE STE B
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95128-2418
Mailing Address - Country:US
Mailing Address - Phone:408-315-7678
Mailing Address - Fax:408-673-3820
Practice Address - Street 1:1510 PARKMOOR AVENUE, SUITE B
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95128-2418
Practice Address - Country:US
Practice Address - Phone:408-315-7678
Practice Address - Fax:408-673-3820
Is Sole Proprietor?:No
Enumeration Date:2007-01-29
Last Update Date:2011-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No171M00000XOther Service ProvidersCase Manager/Care Coordinator