ANTONIO TABBOGA
NPI 1285055020
Counselor - Mental Health in San Jose, CA
Active since December 20, 2013
About Antonio Tabboga NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANTONIO TABBOGA (NPI 1285055020) is an individual mental health provider in San Jose, California and active in the NPI registry since December 2013.
NPPES Registry Identity
NPI1285055020
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameANTONIO TABBOGA
Location Address2221 ENBORG LNSan Jose, CA 95128-2608
Mailing Address2221 Enborg LnSan Jose, CA 95128-2608 · (408) 885-6150
Phone(408) 885-6150
Sole ProprietorYes
Enumeration DateDecember 20, 2013
✔ NPI 1285055020 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
2221 ENBORG LN, San Jose, CA 95128
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
Psychiatry & Neurology (Psychiatry)
2221 ENBORG LN
SAN JOSE, CA 95128
SAN JOSE, CA 95128
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1285055020, enumerated as an "individual" on December 20, 2013.
The provider is located at 2221 ENBORG LN SAN JOSE, CA 95128 and the phone number is (408) 885-6150.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
