San Jose Foothill Family Community Clinic, Inc.
NPI #1588165385 in Prunedale, California
Provider Information
- NPI Number
- 1588165385
- Entity Type
- Organization
- Organization Name
- San Jose Foothill Family Community Clinic, Inc.
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- FOOTHILL HEALTH CENTER, INC.
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- Feb 27, 2018
- Last Updated
- Mar 8, 2018
Practice Location
- Address
- 17637 VIERRA CANYON RD
- City
- Prunedale
- State
- California
- ZIP Code
- 93907-3314
- Phone
- (408) 729-4290
Authorized Official
- Name
- SALVADOR CHAVARIN
- Title
- CEO
- Phone
- (408) 729-4290
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
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