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Organization
HEALTHSOURCE GLOBAL
Active
Organization
HEALTHSOURCE GLOBAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROLAND DOMINGO (MANAGER)
(800) 458-8973
Entity
Organization
Contact information
Practice address
39270 PASEO PADRE PKWY, 138, FREMONT, CA 94538-1616
(800) 458-8973
Mailing address
39270 PASEO PADRE PKWY, 138, FREMONT, CA 94538-1616
(800) 458-8973
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
955322
CA
Other
Enumeration date
01/08/2015
Last updated
01/08/2015
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