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Organization
UNITYCARE
Active
Organization
UNITYCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMARA LEN LACAPA (RESIDENTAL SPECIALIST)
(408) 663-8146
Entity
Organization
Contact information
Practice address
1400 PARKMOOR AVE, SAN JOSE, CA 95126
(408) 971-9822
Mailing address
310 SANDS DR APT 105, SAN JOSE, CA 95125
(408) 663-8146
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
CA
Other
Enumeration date
02/12/2016
Last updated
02/12/2016
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