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Organization
COUNTY OF SANTA CLARA
Active
Organization
COUNTY OF SANTA CLARA
Active
Other names
SCVMC Urgent Care Department
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALFONSO F BANUELOS JR. MD (CHIEF MEDICAL OFFICER)
(408) 885-4001
Entity
Organization
Contact information
Practice address
751 S BASCOM AVE, URGENT CARE DEPARTMENT, SAN JOSE, CA 95128-2604
(408) 885-5000
Mailing address
PO BOX 5280, PATIENT BUSINESS SERVICES, SAN JOSE, CA 95150-5280
(408) 885-7200
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
CA
Other
Enumeration date
11/06/2006
Last updated
08/22/2020
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