San Jose Foothill Family Community Clinic, Inc.

NPI #1063658029 in San Jose, California

Provider Information

NPI Number
1063658029
Entity Type
Organization
Organization Name
San Jose Foothill Family Community Clinic, Inc.
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
Dec 22, 2008
Last Updated
Jun 11, 2015

Practice Location

Address
2880 STORY ROAD
Address 2
SUITE 10
ZIP Code
95127-3942
Phone
(408) 755-3920

Authorized Official

Name
SALVADOR CHAVARIN
Title
CHIEF EXECUTIVE OFFICER
Phone
(408) 729-4290

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)Federally Qualified Health Center (FQHC)

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