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Organization
UNIVERSITY HEALTHCARE ALLIANCE
Active
Organization
UNIVERSITY HEALTHCARE ALLIANCE
Active
Other names
Samaritan Internal Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINE RUSLEN (DIRECTOR OF REIMBURSEMENT)
(510) 974-8297
Entity
Organization
Contact information
Practice address
2410 SAMARITAN DR STE 201, SAN JOSE, CA 95124-3909
(408) 371-9010
Mailing address
PO BOX 742244, LOS ANGELES, CA 90074-2244
(888) 924-1036
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
04/02/2018
Last updated
04/02/2018
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