Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 20A14597 | CA |
N | 111NI0900X | Internist | 20A14597 | CA |
Y | 207RC0200X | Critical Care Medicine | 20A14597 | CA |
NPI | 1003236191 |
---|---|
Provider Name | Dr. John J Redinski |
First Address | San Jose, CA 95116-1603 |
Second Address | San Jose, CA 95116 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/04/2014 |
Last Update Date | 16/07/2019 |