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Organization
UNIVERSITY HEALTHCARE ALLIANCE
Active
Organization
UNIVERSITY HEALTHCARE ALLIANCE
Active
Other names
MENLO MEDICAL CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KRISTINE RUSLEN (DIRECTOR)
(650) 498-6631
Entity
Organization
Contact information
Practice address
321 MIDDLEFIELD RD STE 260, MENLO PARK, CA 94025-4010
(650) 498-6500
(650) 322-1321
Mailing address
321 MIDDLEFIELD RD, MENLO PARK, CA 94025-3500
(650) 498-6500
(650) 322-1321
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
CA
207RG0100X
Gastroenterology Physician
—
CA
207V00000X
Obstetrics & Gynecology Physician
—
CA
207Y00000X
Otolaryngology Physician
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MMM00087M
MEDICARE GROUP NUMBER
CA
Enumeration date
10/07/2009
Last updated
07/21/2022
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