Santa Cruz Medical Foundation Palo Alto Medical Foundation
NPI #1053574806 in Aptos, California
Provider Information
- NPI Number
- 1053574806
- Entity Type
- Organization
- Organization Name
- Santa Cruz Medical Foundation Palo Alto Medical Foundation
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- MEDVANTX, INC.
- Primary Specialty
- Non-Pharmacy Dispensing Site
- Enumeration Date
- Jul 2, 2008
- Last Updated
- Oct 22, 2012
Practice Location
- Address
- 7600 OLD DOMINION CT
- Address 2
- 1ST
- City
- Aptos
- State
- California
- ZIP Code
- 95003-3821
- Phone
- (831) 458-6200
Authorized Official
- Name
- KENNY HEINE
- Title
- DIRECTOR OPERATIONS
- Phone
- (858) 625-2990
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-Pharmacy Dispensing Site |
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