360 Degree Customer Inc

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

C2628656 Issued in CA

Legal business name

360 DEGREE CUSTOMER INC

Practice address

4423 Fortran Drive
# 114
San Jose, CA 95134

Phone

(408) 406-7253

NPI assigned

Mar 1, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Gulneesh Mukhija

Title

Director

Phone

(408) 406-7253

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1362096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362096000000",
    "number": "1659611556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4423 FORTRAN DRIVE",
            "address_2": "# 114",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95134",
            "telephone_number": "408-406-7253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4423 FORTRAN DRIVE",
            "address_2": "# 114",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95134",
            "telephone_number": "408-406-7253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "360 DEGREE CUSTOMER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-01",
        "last_updated": "2013-03-01",
        "status": "A",
        "authorized_official_last_name": "MUKHIJA",
        "authorized_official_first_name": "GULNEESH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "408-406-7253",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "CA",
            "license": "C2628656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.