# DVA PALO ALTO HEALTHCARE SYSTEM

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689892390
- **Authorized official:** DR. JACK BOIS DPM (CHIEF OF PODIATRY)
- **Authorized official phone:** (650) 493-5000

## Contact information

- **Practice address:** 3801 MIRANDA AVE, PALO ALTO, CA 94304-1207
- **Practice address phone:** (650) 493-5000
- **Mailing address:** 1273 ALVERNAZ DR, SAN JOSE, CA 95121-2505
- **Mailing address phone:** (917) 520-4425

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 286500000X | Military Hospital | EL1680 | CA | Yes |

## Other

- **Enumeration date:** 04/20/2007
- **Last updated:** 08/22/2020