Richard S Eng
Oral & Maxillofacial Surgeon
2360 Mckee Rd
San Jose
, California 95116-1618
Richard S Eng
Oral & Maxillofacial Surgeon
2360 Mckee Rd
San Jose
, California 95116-1618
(408) 923-2267
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About
Features
Specialties
- Oral & Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Richard S Eng
- 2360 Mckee Rd
- San Jose, CA
- Zip : 95116-1618
- Fax : (408) 923-2267
- Phone : (408) 923-1010
Second Address
- Richard S Eng
- 2360 Mckee Rd
- San Jose, CA
- Zip : 95116-1618
- Fax : (408) 923-2267
- Phone : (408) 923-1010
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 204E00000X | Oral & Maxillofacial Surgeon | G42226 | CA |
National Provider Identifier
| NPI | 1508850652 |
|---|---|
| Provider Name | Richard S Eng |
| First Address | San Jose, CA 95116-1618 |
| Second Address | San Jose, CA 95116-1618 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/09/2005 |
| Last Update Date | 01/11/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00G422260 | (05) | CA |
| A89750 | (02) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.