San Jose Foothill Family Community Clinic, Inc.
NPI #1144626649 in Gilroy, California
Provider Information
- NPI Number
- 1144626649
- Entity Type
- Organization
- Organization Name
- San Jose Foothill Family Community Clinic, Inc.
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- Nov 10, 2014
- Last Updated
- Jun 4, 2015
Practice Location
- Address
- 9460 NO NAME UNO
- Address 2
- SUITE 110
- City
- Gilroy
- State
- California
- ZIP Code
- 95020-3536
- Phone
- (408) 797-2500
Authorized Official
- Name
- MR. 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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