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Lee Ray Gardner

Addiction (Substance Use Disorder) · San Jose

NPI 1871635235

Medicare standing
1 flag on the record
Listed below.
Plans that list them
Not verified
Not the same as out of network.
Office
1

On the public record

  • Medicare does not list them as allowed to order and refer

Offices

1 location

Plan participation

Not verified

We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Lee Ray Gardner’s office at (408) 938-2113 to ask if they take your plan before you enroll.

Professional record

NPI
1871635235
Licence
CA R1463650322
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 101YA0400X (101YA0400X); Federal specialty code 101YM0800X (101YM0800X)
Mailing address
160 E Virginia St Ste 100, San Jose, CA, 95112
NPI first listed
2007-02-13
NPI last updated
2023-03-07
NPI record certified
2023-03-07

This is when the NPI record was last certified, not a medical board exam.

Extra NPI addresses: 150a South Autumn Street, San Jose, CA, 95110