A & a Enterprise Group LLC

Primary specialty

Genetic Counselor (M.S.)Taxonomy code 170300000X

License

OC31973 Issued in CA

Legal business name

A & A ENTERPRISE GROUP LLC

Practice address

4073 Lakeside Dr
San Jose, CA 95148-3837

Phone

(408) 476-4198

NPI assigned

Oct 30, 2016

Last updated

Oct 30, 2016By the provider in NPPES

Organization subpart

Yes

Parent organization

A & A ENTERPRISE GROUP LLCAs reported in NPPES

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

Authorized official

Name

Mr. Phillip Neal Jong

Title

Manager

Phone

(408) 476-4198

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1477785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477785600000",
    "number": "1871045476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4073 LAKESIDE DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951483837",
            "telephone_number": "408-476-4198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4073 LAKESIDE DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951483837",
            "telephone_number": "408-476-4198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A & A ENTERPRISE GROUP LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "A & A ENTERPRISE GROUP LLC",
        "enumeration_date": "2016-10-30",
        "last_updated": "2016-10-30",
        "status": "A",
        "authorized_official_last_name": "JONG",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "NEAL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "408-476-4198",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "CA",
            "license": "OC31973",
            "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 Oct 30, 2016; 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.