Palo Alto Medical Foundation
NPI #1114182649 in Santa Cruz, California
Provider Information
- NPI Number
- 1114182649
- Entity Type
- Organization
- Organization Name
- Palo Alto Medical Foundation
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- MEDVANTX, INC.
- Primary Specialty
- Non-Pharmacy Dispensing Site
- Enumeration Date
- Jul 24, 2008
- Last Updated
- Jul 25, 2008
Practice Location
- Address
- 2025 SOQUEL AVE
- Address 2
- 4TH FLOOR
- City
- Santa Cruz
- State
- California
- ZIP Code
- 95062-1323
- Phone
- (831) 458-5610
Authorized Official
- Name
- KENNY HEINE
- Title
- DIRECTOR OF OPERATIONS
- Phone
- (858) 625-2990
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-Pharmacy Dispensing Site |
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